自残性断指再植患者心理评估及护理干预  

Psychological assessment of patients with replantation of self-mutilation amputated finger and nursing intervention

作　　者：陈永霞 刘莉 赵霞 李玲 刘华 

机构地区：[1]枣庄矿业集团中心医院,山东枣庄277000

出　　处：《齐鲁护理杂志（中旬刊）》2012年第5期20-21,共2页Journal of Qilu Nursing

摘　　要：目的:探讨自残性断指再植患者心理状态及心理护理干预的方法和效果。方法:将56例自残性断指再植患者随机分为对照组和观察组各28例,对照组给予常规护理,观察组在常规护理的基础上给予心理护理干预。应用症状自评量表(SCL-90)分别在术前及术后10 d进行评估分析。结果:术后10 d观察组SCL-90躯体化症状、人际关系敏感、抑郁、恐惧、焦虑、精神病性因子分值均低于对照组(P<0.05)。结论:自残性断指再植患者术前心理症状复杂,实施心理护理干预能有效地缓解躯体化症状,促进患者身心康复,降低手术应激反应及再植指体血管危象的发生,提高患者自残性断指再植的成活率。Objective：To analyze the psychological assessment of patients with replantation of self- mutilation amputated finger and in-vestigate the method of psychological nursing intervention and its effect. Methods ：56 patients with replantation of self - mutilation amputa-ted finger were randomly divided into an observation group and a control group （28 cases in each group）. The patients in the control group received routine nursing care and the patients in the observation group received extra psychological nursing intervention on the basis of the routine nursing care. The Symptom Checklist （SCL - 90） was used to make a psychological assessment of the patients before operation andon 10 days after operation. Results：The somatic symptoms and the factor scores of interpersonal sensitivity, depression, fear, anxiety and psychosis of SCL - 90 on 10 days after operation were lower in the observation group than those of control group （P 〈 0.05）. Conclusion ： The preoperative psychological symptoms of the patients with replantation of self - mutilation amputated finger are so complex. The imple-mentation of psychological nursing intervention can effectively relieve somatic symptoms, promote physical and psychological rehabilitation of the patients, reduce the stress response and the occurrence of the vascular crisis of the replanted finger and increase the survival rate of replantation of amputated finger.

关 键 词：自残性断指 断指再植术 心理评估 心理护理 

分 类 号：R473.6[医药卫生—护理学]