积极心理支持结合信息支持在急诊交通意外所致颅脑损伤患者中的应用及对家属心理应激的影响  

Application of positive psychological support combined with information support in emergency patients with traumatic brain injury caused by traffic accidents and the impact on family members'psychological stress

作　　者：范宏艳 武将[1] 曹宏丽 李菊兰[1] 张丽娟[1] Fan Hongyan;Wu Jiang;Cao Hongli;Li Julan;Zhang Lijuan(Emergency Center,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Department of Hematology,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省中医院急救中心,兰州730050 [2]甘肃省中医院血液科,兰州730050

出　　处：《国际护理学杂志》2025年第6期1076-1080,共5页international journal of nursing

摘　　要：目的观察积极心理支持结合信息支持在急诊交通意外所致颅脑损伤患者中的应用及对家属心理应激的影响。方法选取甘肃省中医院2020年5月至2022年12月期间急诊科接收的126例颅脑损伤患者,入组患者均由交通意外所致,对其临床资料研究分析,根据入院编号将其分为对照组与观察组,其中对照组63例患者予以急诊常规护理,观察组63例患者在以上基础实施积极心理支持结合信息支持,记录干预前后两组患者心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、认知功能[Loewenstein认知功能评定量表(LOTCA)]、生活质量(F-COIPES量表调查问卷),并对其家属心理应激[简易应对方式问卷(SCSQ)]及护理满意度进行评价。结果干预前两组SDS评分、SAS评分、LOTCA评分及各项F-COIPES评分比较差异无统计学意义(P>0.05),干预后各组评分均显著改善(P<0.05),且干预后相比,观察组SDS评分、SAS评分均低于对照组(P<0.05),LOTCA评分、各项F-COIPES评分均高于对照组(P<0.05);经随访调查显示,家属积极应对方式评分高于对照组(P<0.05),消极应对方式评分低于对照组(P<0.05),且护理满意度也高于对照组,差异有统计学意义(P<0.05)。结论在急诊常规护理基础上给予积极心理支持结合信息支持,能改善交通意外所致颅脑损伤患者的心理状态及认知功能,促进预后生活质量的提高,对于家属而言还能优化其心理应激应对方式及护理满意度。ObjectiveTo observe the application of positive psychological support combined with information support in emergency patients with traumatic brain injury caused by traffic accidents and the impact on family members'psychological stress.MethodsA total of 126 patients with craniocerebral injury admitted to the emergency department of Gansu Provincial Hospital of Traditional Chinese Medicine from May 2020 to December 2022 were retrospectively selected.The enrolled patients were all caused by traffic accidents.Their clinical data were analyzed,and they were divided into control group and observation group according to the admission number.The 63 patient in the control group received routine emergency care,while the 63 patients in the observation group received positive psychological support combined with information support.The psychological status[Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)],cognitive function[Loewenstein Occupational Therapy Cognitive Assessment(LOTCA)]and quality of life[Family Crisis Oriented Personal Evaluation Scale(F-COPES)]of the two groups were recorded before and after intervention.And family members'psychological stress[Simplified Coping Style Questionnaire(SCSQ)]and nursing satisfaction were evaluated.ResultsBefore intervention,there were no significant differences in SDS score,SAS score,LOTCA score and F-COIPES score between the two groups(P>0.05).After intervention,the scores of each group were significantly improved(P<0.05).After intervention,the SDS score and SAS score of the observation group were lower than those of the control group(P<0.05).The LOTCA score and F-COIPES score were higher than those of the control group(P<0.05).The follow-up survey showed that the family members'positive coping style scores and nursing satisfaction were higher than those of the control group(P<0.05),and negative coping style scores were lower than those of the control group,and the differences were statistically significant(P<0.05).ConclusionsPositive psychological support com

关 键 词：积极心理支持结合信息支持 交通意外 颅脑损伤 心理状态 认知功能 家属心理应激 

分 类 号：R473.6[医药卫生—护理学]