综合心理干预对外伤患者心理健康及肾上腺皮质功能的影响  

Effect of integrated psychological intervention on mental state and adrenal cortical function in patients with trauma

作　　者：金彩霞[1] 王丽娟[2] 杨奎芳[1] 陈丽丽[3] 王晓芳[1] 

机构地区：[1]大庆市人民医院骨外科,黑龙江大庆163317 [2]大庆市人民医院五官科,黑龙江大庆163317 [3]大庆市人民医院门诊,黑龙江大庆163317

出　　处：《护理学杂志》2013年第6期76-78,共3页

摘　　要：目的探讨早期心理干预对外伤患者负性情绪、血清游离皮质醇的影响。方法将63例外伤患者随机分为干预组33例,对照组30例。对照组给予常规护理;干预组在常规护理基础上实施综合心理干预,包括心理教育、认知重构等。两组患者干预前后均检测血清游离皮质醇水平,采用焦虑自评量表和抑郁自评量表对其进行心理测评。结果干预后干预组患者焦虑、抑郁得分及血清游离皮质醇水平显著低于对照组(均P<0.05)。结论综合心理干预可以改善外伤患者早期焦虑、抑郁负性情绪,降低血清皮质醇水平,促进身心康复。Objective To explore the influence of early comprehensive psychological intervention on negative emotions and adrenal cortical function in patient with trauma. Methods Sixty-three trauma patients were divided into two groups. The 30 cases in the control group received routine nursing care, while the 33 patients in the intervention group received psychological intervention in addition to routine nursing care. The level of cortisol in plasma was measured before and after the intervention. Moreover, the pa- tients were investigated with The Self-Rating Anxiety Scale（SAS） and Self-Rating Depression Scale（SDS）. Results The SAS, SDS scores, and the level of cortisol in plasma were significantly lower in the intervention group than in the control group after interven- tion （P（0.05 for all）. Conclusion Comprehensive psychological intervention could improve patientst negative emotions in early stage of trauma, reduce the level of cortisol in plasma, and therefore boost mental and physical recovery

关 键 词：外伤 心理干预 焦虑 抑郁 皮质醇 

分 类 号：R473.6[医药卫生—护理学] R471[医药卫生—临床医学]