聚焦解决模式辅助正念疗法对胸腰椎爆裂骨折手术患者的应用效果  

Application Effect of Solution-Focused Model Assisted Mindfulness Therapy in Patients Undergoing Surgery for Thoracolumbar Burst Fractures

作　　者：童日红 刘惠 卢春秀 TONG Ri-hong;LIU Hui;LU Chun-xiu(Department of Orthopaedics,Dayu County People's Hospital,Ganzhou 341500,China;Department of Psychology,Dayu County People's Hospital,Ganzhou 341500,China)

机构地区：[1]大余县人民医院骨科,赣州341500 [2]大余县人民医院心理门诊,赣州341500

出　　处：《四川解剖学杂志》2024年第4期103-105,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨聚焦解决模式辅助正念疗法对胸腰椎爆裂骨折手术患者的应用效果.方法:选取2019年9月至2023年9月于本院进行手术治疗的62例胸腰椎爆裂骨折患者为研究对象.按照随机数字表法,将其分为观察组(n=31,采用聚焦解决模式干预辅助正念疗法)与对照组(n=31,采用聚焦解决模式干预).比较两组患者心理状态[使用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评估]、知觉压力[使用压力知觉量表中文版(CPSS)进行评估]、应对方式[使用简易应对方式问卷(SCSQ)进行评估].结果:干预后,观察组患者SAS、SDS评分均明显低于对照组,差异均有统计学意义(P<0.05);观察组患者CPSS评分明显低于对照组,差异有统计学意义(P<0.05);观察组患者SCSQ中积极应对评分明显高于对照组,消极应对评分明显低于对照组,差异均有统计学意义(P<0.05).结论:聚焦解决模式辅助正念疗法可明显改善胸腰椎爆裂骨折手术患者心理状态,降低知觉压力,调整应对方式.Objective:To explore the application effect of solution-focused model assisted mindfulness therapy in patients undergoing surgery for thoracolumbar burst fractures.Methods:A total of 62 patients with thoracolumbar burst fractures who underwent surgery in our hospital from September 2019 to September 2023 were selected as the study subjects.They were randomly divided into observation group(n=31,received solution-focused model of intervention assisted mindfulness therapy)and control group(n=31,received solution-focused model of intervention).The psychological state[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],perceived stress[Chinese version of the perceived stress scale(CPSS)]and coping styles[simplified coping style questionnaire(SCSQ)]of the two groups were compared.Results:After intervention,the SAS and SDS scores of observation group were significantly lower than those of control group,and the differences were statistically significant(P<0.05).The CPSS scores of observation group was significantly lower than that of control group,and the difference was statistically significant(P<0.05).The score for positive coping in the SCSQ of observation group was higher than that of control group,the score for negative coping in the SCSQ of observation group was lower than that of control group,and the differences were statistically significant(P<0.05).Conclusion:Solution-focused model assisted mindfulness therapy can significantly improve psychological health of patients undergoing surgery for thoracolumbar burst fractures,reduce their perceived stress,and improve their coping styles.

关 键 词：聚焦解决模式 正念疗法 胸腰椎爆裂骨折 心理状态 知觉压力 应对方式 

分 类 号：R687.3[医药卫生—骨科学]