心理护理干预在外伤性截瘫患者中的临床应用  

Clinical Observation on the Effects of Psychological Nursing after spinal cord injury induced paraplegia

作　　者：邵松玲[1] 靳松[1] 何琼芳[1] 谭永华[1] 丘宇辉[1] 黄月娇[1] 

机构地区：[1]广东医学院附属深圳市第四福田人民医院骨科,广东深圳518033

出　　处：《中外医学研究》2010年第14期148-150,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的 探讨利用心理护理干预措施对外伤性截瘫患者治疗和康复程度的影响.方法 选择67例患者分成常规护理组（未心理干预组）和常规护理＋心理护理组（心理干预组）,入院时和入院后不同时间进行焦虑自评量表（SAS）及采用〈医学应对问卷〉（MCMQ）和〈症状自评量表〉（SCL2 90）评定.结果 两组SAS评分均明显下降（P〈0.01）,B组SAS评分明显优于A组（P〈0.01） 两组不同时间MCMQ和SCL-90评分结果比较有意义.结论 常规护理可使截瘫患者的焦虑症状减轻,结合心理护理和健康宣教作用更加明显.认为护理人员应重视截瘫患者的心理分析,更好地为患者实施心理护理,以使患者保持积极心态,树立战胜疾病的信心.Objective To observe the effect of psychological nursing after spinal cord injury induced paraplegia. Methods 67 in patients were divided into group A （ normal nursing） and group B （ additional psychological nursing）. They were evaluated with SAS,MCMQ,SCL2 90 when they were hospitalized and 5,12 month later. Results The scores of SAS obviously decreased in both groupsl month later（ P 〈 0. 01 ）, while that of group B were more obviously than group A （ P 〈 0. 01 ）. Conclusion The routine nursing could relieve the anxiety symptoms of spinal cord injury induced paraplegia patients. It is more effective in addition with psychological nursing and healthy education.

关 键 词：胸腰段脊髓损伤 截瘫 心理 护理 干预 

分 类 号：R683.206[医药卫生—骨科学]