颅脑损伤患者家属健康教育路径干预的效果评价  

Evaluation of Effects of Health Education Pathway Intervention on the Mental Status and Coping Capacity in Family Members of Brain Injury Patients

作　　者：廖英[1] 叶岭[1] 刘秀竹[1] 李蓉[1] 

机构地区：[1]绵阳市中心医院神经外科,四川绵阳621000

出　　处：《华西医学》2016年第10期1747-1751,共5页West China Medical Journal

摘　　要：目的探讨健康教育对颅脑损伤患者家属心理状况及应对能力的影响。方法将2013年9月-2014年10月符合纳入标准的188例需要手术治疗的颅脑损伤患者家属按随机数字表法分为干预组(n=95)和对照组(n=93),对照组实施常规健康教育,干预组实行健康教育路径干预,分别在入院和出院时采用症状自评量表(SLC-90)和应付方式量表评价并比较两组患者家属心理状况及应对能力,并在出院时就住院时间和费用、家属满意度进行比较。结果入院时两组患者家属心理状况及应对能力比较,差异无统计学意义(P>0.05)。出院时,对照组患者家属SCL-90筛查阳性率高于干预组,SCL-90总分及各因子得分也高于干预组,差异均有统计学意义(P<0.05)。在应对能力方面,对照组家属自责、退避、幻想、合理化得分显著高于干预组,求助得分显著低于干预组,差异有统计学意义(P<0.05)。干预组患者住院时间和费用明显减少,家属满意度高于对照组,差异有统计学意义(P<0.05)。结论健康教育路径可明显改善手术治疗颅脑损伤患者家属的心理状况,改善其应对疾病能力,对患者护理及康复有积极意义。Objective To investigate the effects of health education pathway intervention on the mental status and coping capacity in family members of brain injury patients receiving surgery.Methods One hundred and eighty-eight family members were randomly divided into control group（n=93） and intervention group（n=95） between September2013 and October 2014.The control group received conventional health education only,while the intervention group was given health education pathway intervention.The mental status and coping capacity of family members in the two groups on admission and at discharge were surveyed and compared based on symptom checklist 90（SCL- 90） and coping styles questionnaire（CSQ）.The hospitalization stay and expenditure and the satisfaction degree were also compared.Results There was no significant differences in mental status and coping capacity in family members between the two groups on admission（P〈0.05）.After health education pathway intervention,the positive rate of SCL- 90 in the control group was significantly higher than that in the intervention group,and the total score and score for each factor were also obviously higher（P〈0.05）.As for coping capacity,the scores of self-blaming,avoidance,fancy and rationalization of CSQ in the control group were significantly higher than those in the intervention group,and the scores of appealing help and resolving problems were obviously lower（P〈0.05）.Furthermore,the hospitalization stay and expenditure were significantly shorter or lower in the intervention group than those in the control group,and the satisfaction degree on nursing service was obviously higher（P〈0.05）.Conclusion The health education pathway intervention can greatly improve mental status and coping capacity in family members of brain injury patients.

关 键 词：健康教育路径 颅脑损伤 心理状况 应对能力 

分 类 号：R473.6[医药卫生—护理学]