基于人格特征的心理干预对颅脑外伤后综合征患者心理健康及生活质量的影响  

Influence of psychological intervention based on personality characteristics on mental health and quality of life of patients with post-traumatic syndrome

作　　者：朱贝贝 陶园园[2] 童孜蓉[1] 姚志娟[1] 鲍秀霞 ZHU Beibei;TAO Yuanyuan;TONG Zirong;YAO Zhijuan;BAO Xiuxia(Neurosurgical Intensive Care Unit,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing210029,China;Department of Neurosurgery,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province,Nanjing210029,China)

机构地区：[1]江苏省人民医院神经外科重症监护病房,江苏南京210029 [2]南京医科大学第一附属医院神经外科,江苏南京210029

出　　处：《中国医药导报》2021年第22期164-167,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81674088)。

摘　　要：目的探讨基于人格特征的心理干预在颅脑外伤后综合征患者中的应用效果。方法选择2017年10月至2020年4月南京医科大学第一附属医院收治的颅脑外伤后综合征患者110例,按照随机数字表法分为实验组、对照组,各55例。剔除脱落患者,实验组实际纳入53例,对照组实际纳入47例。对照组给予常规治疗性护理及心理干预,实验组联合应用基于人格特征的心理干预。随访6个月,比较两组心理健康状况、生活质量、护理满意度。结果随访6个月,实验组躯体化、抑郁、焦虑、恐怖、精神病性评分及SCL-90总分低于对照组,差异有统计学意义(P<0.05);两组SCL-90各项评分及总分明显低于干预前,差异有统计学意义(P<0.05)。实验组躯体功能、心理功能评分及总体健康评分明显高于对照组,差异有统计学意义(P<0.05);两组生活质量评分明显高于干预前,差异有统计学意义(P<0.05)。实验组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于人格特征的心理干预有助于提高颅脑外伤后综合征患者心理健康水平,改善患者生活质量,提高其心理护理满意度。Objective To explore the application effect of psychological intervention based on personality characteristics in patients with post-traumatic syndrome.Methods A total of 110 patients with post-craniocerebral trauma syndrome admitted to the First Affiliated Hospital of Nanjing Medical University from October 2017 to April 2020 were selected and divided into experimental group and control group with 55 cases each according to the random number table method.Excluding the falling patients,53 cases were actually included in the experimental group and 47 cases were actually included in the control group.The control group was given conventional therapeutic nursing and psychological intervention,and the experimental group was combined with psychological intervention based on personality characteristics.Follow-up for six months,mental health status,quality of life,and nursing satisfaction of two groups were compared.Results After six months of follow-up,the scores of somatization,depression,anxiety,phobia,psychosis and SCL-90 of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05);the scores of SCL-90 items and total score in two groups were significantly lower than before the intervention,and the differences were statistically significant(P<0.05).The physical function,mental function score and overall health score of the experimental group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05);the quality of life scores of the two groups were significantly higher than those before the intervention,and the differences were statistically significant(P<0.05).The nursing satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Psychological intervention based on personality characteristics can help improve the mental health of patients with post-traumatic syndrome,enhance the quality of life of patient

关 键 词：颅脑外伤后综合征 人格特征 心理干预 心理健康 生活质量 

分 类 号：R473.6[医药卫生—护理学]