预见性护理结合心理支持应用于急诊外伤患者的效果分析  

Effect Analysis of Predictive Nursing Combined with Psychological Support for Emergency Trauma Patients

作　　者：苏洪跃 王丹 高娟 Su Hong-yue;Wang Dan;Ggao Juan(Department of Emergency Medicine,Shandong Sunshine Union Hospital,Weifang 261000,Shandong Province,China)

机构地区：[1]山东阳光融和医院急诊医学科,山东潍坊261000

出　　处：《中国社区医师》2022年第23期127-129,共3页Chinese Community Doctors

摘　　要：目的:分析急诊外伤患者应用预见性护理结合心理支持的效果以及对创伤后应激障碍的影响。方法:选取2018年11月-2020年9月山东阳光融和医院急诊医学科收治的106例外伤患者,根据随机数表法分为两组,各53例。对照组实施常规护理干预,试验组在对照组基础上实施预见性护理结合心理支持。比较两组不同护理干预方式对患者心理状态、创伤后应激障碍及多器官功能障碍综合征发生率的影响。结果:两组患者干预前抑郁自评量表评分、焦虑自评量表评分、自尊量表评分比较,差异无统计学意义(P>0.05);干预后试验组抑郁自评量表评分、焦虑自评量表评分、自尊量表评分均优于对照组,差异有统计学意义(P<0.05)。干预后试验组创伤后应激障碍自评量表评分及多器官功能障碍综合征发生率均低于对照组,差异有统计学意义(P<0.05)。结论:急诊外伤患者应用预见性护理结合心理支持的效果显著,能调节患者异常情绪,减少创伤后应激障碍。Objective:To analyze the effect of predictive nursing combined with psychological support in emergency traumapatients and its influence on post-traumatic stress disorder.Methods:A total of 106 traumatic patients admitted to the Departmentof Emergency Medicine,Shandong Sunshine Union Hospital from November 2018 to September 2020 were selected.The patientswere divided into 2 groups according to the random number table method,with 53 cases in each group.The control group carriedout routine nursing intervention.On this basis,the experimental group carried out predictive nursing combined with psychologicalsupport.The effects of different nursing intervention methods on the psychological state,post-traumatic stress disorder and theincidence of multiple organ dysfunction syndrome were compared between the two groups.Results:There was no significantdifference in the scores of the self-rating depression scale,the self-rating anxiety scale and the self-esteem scale between the twogroups before the intervention(P>0.05).After the intervention,the scores of the self-rating depression scale,the self-rating anxietyscale and the self-esteem scale of the experimental group were better than those of the control group,and the difference wasstatistically significant(P<0.05).After the intervention,the post-traumatic stress disorder self-rating scale score and the incidenceof multiple organ dysfunction syndrome in the experimental group were lower than those in the control group,and the difference wasstatistically significant(P<0.05).Conclusion:The use of predictive nursing combined with psychological support for emergencytrauma patients has a significant effect,which can regulate abnormal emotions and reduce post-traumatic stress disorder.

关 键 词：预见性护理 心理支持 急诊外伤 应激障碍 

分 类 号：R473.6[医药卫生—护理学]