CAJ | 학술논문

目的：探讨心理干预对腰椎骨折伴截瘫患者应激心理因素的影响。方法选择2007年10月---2011年1月本院收治脊柱骨折伴截瘫患者28例，随机分为研究组组和对照组，各14例。研究组在常规护理的基础上给予心理干预，对照组采用常规护理方法。干预前、干预三个月后采用MCMQ和SCI-90进行评分评定患者心理状况。结果心理干预三个月后，研究组MCMQ评分中的面对评分高于对照组，屈服和回避评分低于对照组；两组差异有统计学意义；干预后研究组SCI-90评分中的焦虑、抑郁、恐惧评分均低于对照组，两组差异有统计学意义。结论心里干预可改善脊柱骨折并截瘫患者心理应激状况，缓解不良心理情绪，利于患者康复，值得应用。
목적：탐토심리간예대요추골절반절탄환자응격심리인소적영향。방법선택2007년10월---2011년1월본원수치척주골절반절탄환자28례，수궤분위연구조조화대조조，각14례。연구조재상규호리적기출상급여심리간예，대조조채용상규호리방법。간예전、간예삼개월후채용MCMQ화SCI-90진행평분평정환자심리상황。결과심리간예삼개월후，연구조MCMQ평분중적면대평분고우대조조，굴복화회피평분저우대조조；량조차이유통계학의의；간예후연구조SCI-90평분중적초필、억욱、공구평분균저우대조조，량조차이유통계학의의。결론심리간예가개선척주골절병절탄환자심리응격상황，완해불양심리정서，리우환자강복，치득응용。
Objective To investigate the effects of psychological intervention on patients with lumbar stress fractures with paraplegia psychological factors .Methods October 2007-March 2011 with paraplegic spinal fractures admitted to our hospital 28 patients were randomly divided into study groups and control groups,all14 pa-tients.Study group on the basis of the routine care given to psychological intervention in the control group using conventional methods of care .Before the intervention, three months after intervention using MCMQ and SCI-90 for patients with mental status assessed rating.Results After three months of psychological intervention,the study group MCMQ score higher in the face score,yield,and avoid the score than the control group;two groups was statistically significant;intervention team score in the SCI-90 anxiety,depression,fear scores were lower than the control group ,the difference was statistically significant .Conclusion The heart intervention can improve pa-tients with spinal fractures and paraplegia psychological stress situation,ease the negative psychological and emotional,is conducive to the rehabilitation of patients,and should be applied.