应激系统理论联合靶向性康复训练在颅脑外伤患者术后康复中的应用  

Application of stress system theory combined with targeted rehabilitation training in patients after craniocerebral trauma surgery

作　　者：李笑笑 LI Xiao-xiao

机构地区：[1]天津市环湖医院,天津300000

出　　处：《中国疗养医学》2024年第7期30-33,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨应激系统理论联合靶向性康复训练在颅脑外伤患者术后康复中的应用效果。方法将2023年1月至12月天津市环湖医院收治的76例颅脑外伤手术患者按随机数字表分为对照组(术后给予常规心理干预及康复训练)与观察组(术后给予应激系统理论干预联合靶向性康复训练),每组各38例,两组均于患者术后清醒后开始干预,持续干预至术后1个月,比较两组的创伤性应激障碍程度、心理弹性水平、运动功能及日常生活能力。结果干预后,观察组的再体验症状,回避症状,过度唤起症状,内疚、愤怒和失落感评分分别为(16.45±2.26)分、(17.42±2.19)分、(15.42±1.63)分、(7.29±1.25)分,低于对照组的(18.39±2.16)分、(20.21±2.17)分、(17.58±1.16)分、(9.37±1.38)分,差异有统计学意义(P<0.05);观察组的坚韧、自强、乐观评分分别为(35.11±4.15)分、(24.26±3.29)分、(13.21±1.53)分,高于对照组的(31.37±4.32)分、(21.76±3.14)分、(11.76±1.16)分,差异有统计学意义(P<0.05);观察组的上肢、下肢功能评分分别为(45.45±4.73)分、(26.11±4.32)分,高于对照组的(42.63±4.25)分、(23.37±3.25)分,差异有统计学意义(P<0.05);观察组的日常生活能力评分为(66.42±5.69)分高于对照组的(62.92±5.35)分,差异有统计学意义(P<0.05)。结论应激系统理论干预联合靶向性康复训练能够减轻颅脑外伤患者术后清醒患者创伤性应激障碍,改善其心理弹性,降低运动障碍,提高日常生活能力。Objective To explore the application effect of stress system theory combined with targeted rehabilitation training in rehabilitating patients after craniocerebral trauma surgery.Methods A total of 76 patients with craniocerebral trauma surgery admitted to Tianjin Huanhu Hospital from January to December 2023 were divided into control group(routine psychological intervention and rehabilitation training after surgery)and observation group(stress system theoretical intervention combined with targeted rehabilitation training after surgery)according to a random number table,with 38 cases in each group.Intervention began after patients were awake after surgery in both groups,which continued until 1 month after surgery.The degree of traumatic stress disorder,mental resilience,motor function and ability of daily living were compared between the two groups.Results After the intervention,the scores of re-experience symptoms,avoidance symptoms,overarousal symptoms,and the score of guilt,anger and sense of loss in the observation group were(16.45±2.26)points,(17.42±2.19)points,(15.42±1.63)points,and(7.29±1.25)points,lower than those in the control group(18.39±2.16)points,(20.21±2.17)points,(17.58±1.16)points,and(9.37±1.38)points,with difference of statistical significance(P<0.05).The scores of tenacity,self-reliance and optimism in the observation group were(35.11±4.15)points,(24.26±3.29)points,and(13.21±1.53)points,higher than those in the control group(31.37±4.32)points,(21.76±3.14)points,and(11.76±1.16)points,and the difference was statistically significant(P<0.05).The functional scores of upper and lower limbs in the observation group were(45.45±4.73)points and(26.11±4.32)points,higher than those in the control group(42.63±4.25)points and(23.37±3.25)points,and the difference was statistically significant(P<0.05).The daily living ability score of the observation group was(66.42±5.69)points,higher than that of the control group(62.92±5.35)points,and the difference was statistically significant(P<0.05).C

关 键 词：应激系统理论干预 靶向性康复训练 颅脑外伤术 运动障碍 创伤性应激障碍 

分 类 号：R651.15[医药卫生—外科学] R493[医药卫生—临床医学]