心理督导在青年创伤性骨折患者康复训练治疗中的应用  

Application of Psychological Supervision in Rehabilitation Training of Young Patients with Traumatic Fracture

作　　者：邹小春[1] ZOU Xiaochun(Department of Third Surgery,Dazhou Central Hospital of Sichuan,Dazhou 635000,China)

机构地区：[1]四川省达州市中心医院外三科

出　　处：《中国健康心理学杂志》2018年第9期1360-1363,共4页China Journal of Health Psychology

摘　　要：目的：探讨心理督导在青年创伤性骨折患者康复训练治疗中的应用。方法：选取我院2016年3月-2017年3月收治的106例青年创伤性骨折患者为研究对象,随机分为观察组（n=53）和对照组（n=53）。对照组患者采用常规护理,观察组在对照组基础上进行心理督导干预。比较两组康复训练依从度,护理前、后简易应对方式问卷（simplified coping style questionnaire,SCSQ）评分、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分,干预后生存质量量表（QOL）评分。结果：观察组康复训练依从度为90.57%,对照组康复训练依从度为75.47%,差异有统计学意义（χ2=4.28,P〈0.05）;干预后,观察组积极应对评分显著高于对照组（t=5.22,P〈0.001）,观察组消极应对评分显著低于对照组（t=-7.88,P〈0.001）;干预后,观察组SAS和SDS评分显著低于对照组（t=-10.28,-6.72;P〈0.001）;干预后,观察组QOL在社会、环境、心理和生理各维度评分均显著高于对照组（t=13.76,11.43,9.23,9.37;P〈0.001）。结论：对青年创伤性骨折患者进行心理督导干预,可有效提高患者康复训练依从度,改善患者应对方式以及负性情绪,提高术后生活质量。Objective：To explore the application of psychological supervision in rehabilitation training of young patients with traumatic fracture.Methods：A total of 106 cases of young patients with traumatic fracture treated in our hospital from March 2016 to March 2017 were selected for the study and randomly divided into the observation group（n=53）and the control group（n=53）.The patients in the control group were treated with routine nursing and the observation group was performed psychological supervision intervention on the basis of treatment in the control group.The rehabilitation training compliance,simplified coping style questionnaire（SCSQ）score before and after nursing,self-rating anxiety scale（SAS）and self-rating depression scale（SDS）score,the quality of life scale（QOL）score after nursing intervention were compared between the two groups.Results：The rehabilitation training compliance rate was 90.57%in the observation group and 75.47%in the control group,therefore the difference was statistically significant（χ2=4.28,P〈0.05）.After the intervention,the positive response score was（1.74±0.37）in the observation group,which was significantly higher than that in the control group（t=5.22,P〈0.01）.But the negative response score was significantly lower in the observation group with（1.15±0.33）than that in the control group（t=-7.88,P〈 0.01）.The scores of SAS and SDS after intervention in the observation group were（43.25±4.14）and（32.67±3.94）respectively,which were significantly lower than those in the control group（t=-10.28,-6.72;P〈0.01）.After intervention,the scores of each dimension of QOL in the observation group were significantly higher than those in the control group（t=13.76,11.43,9.23,9.37;P〈0.01）.Conclusion：Psychological supervision intervention for young patients with traumatic fracture can effectively improve the rehabilitation training compliance,the coping style and negative emotions and the quality of life after operation.

关 键 词：创伤性骨折 心理督导 依从度 应对方式 负性情绪 

分 类 号：R395.9[哲学宗教—心理学]