结构式心理干预对青中年脑卒中患者创伤后成长、自我感受负担的影响  

Effect of structured psychological intervention on posttraumatic growth and self-perceived burden in young and middle-aged patients with stroke

作　　者：黄阿敏 王芬[1] 黄圣明[1] 薛艳[1] Huang Amin;Wang Fen;Huang Shengming;Xue Yan(Neurology Department,Luohe Central Hospital,Luohe Henan 462000,China)

机构地区：[1]河南省漯河市中心医院神经内科,河南漯河462000

出　　处：《保健医学研究与实践》2023年第1期65-69,共5页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191412)。

摘　　要：目的探讨结构式心理干预对青中年脑卒中患者创伤后成长、自我感受负担的影响,以期为临床治疗提供参考。方法选取河南省漯河市中心医院2021年1月—2022年6月收治的108例青中年脑卒中患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组54例。对照组患者采用常规护理干预,观察组患者在常规护理基础上进行结构式心理干预。比较2组患者干预前及干预后(出院时)创伤后成长量表(PTGI)、自我感受负担量表(SPBS)及简明健康状况调查表(SF-36)评分。结果干预前,2组患者PTGI中生活感知、与他人关系、个人力量、新的可能性、自我转变维度评分及总分比较,差异无统计学意义(P>0.05)。干预后,2组患者PTGI中生活感知、与他人关系、个人力量、新的可能性、自我转变维度评分及总分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SPBS中身体负担、情感负担、经济负担维度评分及总分比较,差异无统计学意义(P>0.05)。干预后,2组患者SPBS中身体负担、情感负担、经济负担维度评分及总分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SF-36中躯体疼痛、生理功能、生理职能、总体健康、社会功能、情感职能、活力、精神健康维度评分及总分比较,差异无统计学意义(P>0.05)。干预后,2组患者SF-36中躯体疼痛、生理功能、生理职能、总体健康、社会功能、情感职能、活力、精神健康维度评分及总分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论结构式心理干预对青中年脑卒中患者的干预效果显著,可有效促进患者创伤后成长,降低患者自我感受负担,改善患者生活质量,值得临床推广应用。Objective To investigate the effect of structured psychological intervention on post-traumatic growth and self-perceived burden in young and middle-aged patients with stroke,so as to provide a reference for clinical treatment.Methods A total of 108 young and middle-aged patients with stroke admitted to Luohe Central Hospital from January 2021 to June 2022 were selected as the study subjects.They were randomly assigned to a control group and an observation group,with 54 cases in each group.Patients in the control group received the routine nursing intervention and patients in the observation group received structured psychological intervention based on routine nursing.The scores of the Posttraumatic Growth Inventory(PTGI),self-perceived burden scale(SPBS)and 36-Item Short-Form Health Survey(SF-36)were compared between the two groups before and after intervention(at discharge).Results Before the intervention,there was no significant difference in subscale scores of appreciation for life,improved relationships,personal strength,new possibilities,spiritual growth,and total scores of PTGI between the two groups(P>0.05).After the intervention,the subscale scores of appreciation for life,improved relationships,personal strength,new possibilities,spiritual growth,and total score in PTGI of the two groups were higher than those before the intervention,and the observation group was higher than the control group,with statistical significance(P<0.05).Before the intervention,there was no significant difference in subscale scores of physical burden,emotional burden,economic burden and total score in SPBS between the two groups(P>0.05).After the intervention,the subscale scores of the physical burden,emotional burden,economic burden dimension score and total score in SPBS of the two groups were lower than those before the intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).Before the intervention,there was no significant difference in subscale scores of bodily pain,physi

关 键 词：脑卒中 青中年 结构式心理干预 创伤后成长 自我感受负担 

分 类 号：R473.5[医药卫生—护理学]