首页|叙事护理干预对康复期脊髓损伤患者焦虑、抑郁及创伤后成长的影响

叙事护理干预对康复期脊髓损伤患者焦虑、抑郁及创伤后成长的影响

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目的:观察叙事护理干预对康复期脊髓损伤患者焦虑、抑郁及创伤后成长的影响,为临床开展叙事护理提供参考依据.方法:将 2022 年 2 月—2023 年 1 月于遵义医科大学附属医院进行治疗的 78 例康复期脊髓损伤患者作为研究对象,随机将其分为观察组和对照组,每组 39 例.对照组进行常规心理护理,观察组在此基础上予以叙事护理.观察比较两组干预前后的焦虑、抑郁及创伤后成长情况.结果:两组干预前焦虑自评量表(SAS)、抑郁自评量表(SDS)及简体中文版创伤后成长评定量表(C-PTGI)评分比较,差异均无统计学意义(P>0.05).两组干预后的SAS及SDS评分均低于干预前,且观察组上述评分均低于对照组,差异均有统计学意义(P<0.05).观察组干预后C-PTGI评分高于干预前和对照组,差异均有统计学意义(P<0.05).结论:实施叙事护理能有效改善康复期脊髓损伤患者焦虑、抑郁的心理状态,提高创伤后成长水平,促进心理健康.
Effects of Narrative Nursing Intervention on Anxiety,Depression and Post-traumatic Growth in Patients with Spinal Cord Injury during Rehabilitation
Objective:To observe the effects of narrative nursing intervention on anxiety,depression and post-traumatic growth in patients with spinal cord injury during rehabilitation,so as to provide a reference for clinical narrative nursing.Method:A total of 78 patients with spinal cord injury during rehabilitation who were treated in the Affiliated Hospital of Zunyi Medical University from February 2022 to January 2023 were selected as the research objects.They were randomly divided into the observation group and the control group,with 39 cases in each group.The control group was given routine psychological nursing,and the observation group was given narrative nursing on this basis.The anxiety,depression and post-traumatic growth of the two groups were observed and compared before and after intervention.Result:There were no statistically significant differences in the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Chinese-posttraumatic growth inventory(C-PTGI)between the two groups before intervention(P>0.05).The scores of SAS and SDS in the two groups after intervention were lower than those before intervention,and the above scores in the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The score of C-PTGI in the observation group after intervention was higher than that before intervention and that of the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of narrative nursing can effectively improve the psychological state of anxiety and depression in patients with spinal cord injury during the rehabilitation,improve the level of post-traumatic growth and promote mental health.

Narrative nursingSpinal cord injuryAnxietyDepressionPost-traumatic growth

陈凌云、陈锡栋、刘汉梅、李航、王安素、蒋中艳

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遵义医科大学护理学院 贵州 遵义 563000

遵义医科大学附属医院护理部 贵州 遵义 563000

遵义医科大学附属医院康复科 贵州 遵义 563000

叙事护理 脊髓损伤 焦虑 抑郁 创伤后成长

贵州省遵义市科技计划项目

遵市科合HZ字[2021]147号

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(2)
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