CAJ | 학술논문

目的探讨护理干预对预防急性创伤住院患者并发应激障碍的效果及对心理状况的影响.方法按患者住院时间、年龄、文化程度、病程等条件选择2009年9月至2010年8月急性创伤住院患者50例作为实验组,在常规护理基础上进行心理干预,2008年9月至2009年8月急性创伤住院患者50例作为对照组,采用常规护理.比较两组1周及2周后的创伤后急性心因性反应发生率和发生的严重程度.结果实验组患者2周后HAMD评分为(9.11±2.85)分,HAMA评分结果为(9.25±2.71)；对照组评分结果分别为(13.50±2.75)分和(14.01±3.71)分,组间比较差异具有统计学意义(t分别为0.806,7.326;P ＜0.05).结论护理干预对急性创伤住院患者预防并发急性应激障碍有积极的意义,有利于提高患者的疾病应对水平,并有利于患者配合治疗及康复.
목적 탐토호리간예대예방급성창상주원환자병발응격장애적효과급대심리상황적영향.방법 안환자주원시간、년령、문화정도、병정등조건선택2009년9월지2010년8월급성창상주원환자50례작위실험조,재상규호리기출상진행심리간예,2008년9월지2009년8월급성창상주원환자50례작위대조조,채용상규호리.비교량조1주급2주후적창상후급성심인성반응발생솔화발생적엄중정도.결과 실험조환자2주후HAMD평분위(9.11±2.85)분,HAMA평분결과위(9.25±2.71)；대조조평분결과분별위(13.50±2.75)분화(14.01±3.71)분,조간비교차이구유통계학의의(t분별위0.806,7.326;P ＜0.05).결론 호리간예대급성창상주원환자예방병발급성응격장애유적겁적의의,유리우제고환자적질병응대수평,병유리우환자배합치료급강복.
Objective To explore the effects of nursing intervention on prevention of acute traumatic stress disorder inpatients and theirs psychological conditions.Methods According to patient length of stay,age,education,course conditions,50 cases of hospitalized patients with acute trauma were selected as experimental group from September 2009 to August 2010 and were implemented psychological intervention on basis of ordinary nursing.Another 50 cases with acute trauma were selected as control group from September 2008 to August 2009 with conventional care.1 week and 2 weeks incidence and severity were compare between the two groups after post-traumatic acute psychogenic reaction.Results Experimental group 2 week HAMD score was (9.11 ± 2.85) and HAMA score was (9.25 ± 2.71 ),those in control group were ( 13.50 ± 2.75 )and ( 14.01 ± 3.712),respectively,and the difference was significant ( t =0.806,7.326,respectively; P ＜0.05).Conclusions Nursing intervention on prevention of acute inpatient acute traumatic stress disorder have a positive meaning,help to improve the level of response in patients with the disease and help patients cope with treatment and rehabilitation.