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综合心理护理干预对地震创伤手术患者康复的影响
引用本文:段艮芳,王健,周万明.综合心理护理干预对地震创伤手术患者康复的影响[J].中国循证医学杂志,2008,8(10):820-822.
作者姓名:段艮芳  王健  周万明
作者单位:1. 四川中医药高等专科学校护理系,绵阳市,621000
2. 绵阳市中心医院手术室
3. 绵阳市卫生局
摘    要:目的探讨心理护理干预对地震创伤手术患者康复的影响。方法将80例地震伤手术患者随机分为综合心理护理干预组和常规护理组,每组各40例,评估综合心理护理干预对患者的心理状况、医患关系满意度和住院时间的影响。心理测试采用SCL-90、HAMD及HAMA等量表。结果综合心理护理干预组的SCL-90、HAMD、HAMA量表中抑郁、焦虑及恐惧等因子较常规护理组低;对医患关系的满意度明显高于常规护理组;住院时间明显低于常规护理组(P〈0.05)。结论综合心理护理干预可明显减轻地震创伤手术患者的抑郁、焦虑及恐惧等心理障碍,有利于他们康复治疗。

关 键 词:心理护理  地震  创伤后应激障碍

Effect of Mental Nursing for Operation Patients with Earthquake Trauma on Their Rehabilitation
DUAN Gen-fang,WANG Jian,ZHOU Wan-ming.Effect of Mental Nursing for Operation Patients with Earthquake Trauma on Their Rehabilitation[J].Chinese Journal of Evidence-based Medicine,2008,8(10):820-822.
Authors:DUAN Gen-fang  WANG Jian  ZHOU Wan-ming
Affiliation:DUAN Gen-fang, WANG Jian, ZHOU Wan-ming( 1. Department of Nursing, Sichuan Traditional Chinese Medicine College, Mianyang 62100, China; 2. Department of operating room, Mianyang Center Hospital; 3. Mianyang Public Health Bureau)
Abstract:Objective To observe the effect of mental nursing for operation patients with earthquake trauma on their rehabilitation. Methods Eighty operation patients with earthquake trauma were randomly divided into two groups: mental nursing group and conventional nursing group. Psychological consult was used in the mental nursing group. Results were recorded by psychologic test, investigation questionnaire and nursing statistics. The measuring scales included SCL-90, HAMD and HAMA. Results The degree of satisfaction in the mental nursing group was obviously higher than that in the conventional nursing group. The scores of depression and anxiety in the mental nursing group were lower than these in the conventional nursing group. The length of hospital stay in the mental nursing group was also shorter (P<0.05). Conclusion Mental nursing could reduce dysphrenia in operation patients with earthquake trauma and facilitate their rehabilitation.
Keywords:Mental nursing  Earthquake  Post-traumatic stress disorder
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