CAJ | 학술논문

目的：探讨心理护理干预在脊髓损伤整体护理中的重要作用。方法将符合研究标准的40例脊髓损伤的患者采用随机数字表法分为观察组和对照组，每组20例，对照组给予常规治疗＋康复护理，观察组在对照组的基础上加强心理护理干预，采用症状自评量表90（SCL-90）、自尊量表（SES）、遵医行为量表、简明健康量表（SF-36）评价患者的负性情绪、自尊水平、遵医行为和生活质量。结果观察组的强迫症状、人际关系敏感、抑郁、焦虑、恐怖、偏执、睡眠等评分均低于对照组，差异有统计学意义（P＜0.05）。观察组的遵医行为评分、尊重水平评分高于对照组，差异有统计学意义（P＜0.05）。观察组在躯体功能、角色功能、社会功能等方面的生活质量均高于对照组，差异有统计学意义（ P＜0.05）。结论心理护理能够减少脊髓损伤患者的负性情绪，提高遵医行为，改善生活质量。
목적：탐토심리호리간예재척수손상정체호리중적중요작용。방법장부합연구표준적40례척수손상적환자채용수궤수자표법분위관찰조화대조조，매조20례，대조조급여상규치료＋강복호리，관찰조재대조조적기출상가강심리호리간예，채용증상자평량표90（SCL-90）、자존량표（SES）、준의행위량표、간명건강량표（SF-36）평개환자적부성정서、자존수평、준의행위화생활질량。결과관찰조적강박증상、인제관계민감、억욱、초필、공포、편집、수면등평분균저우대조조，차이유통계학의의（P＜0.05）。관찰조적준의행위평분、존중수평평분고우대조조，차이유통계학의의（P＜0.05）。관찰조재구체공능、각색공능、사회공능등방면적생활질량균고우대조조，차이유통계학의의（ P＜0.05）。결론심리호리능구감소척수손상환자적부성정서，제고준의행위，개선생활질량。
Objective To explore the important role of psychological nursing intervention in holistic nursing care for spinal cord in -jury patients.Methods A total of 40 cases of spinal cord injury patients were randomly divided into the observation group and the control group with 20 cases in each .The control group was given conventional treatment and rehabilitation nursing , the observation group was given psychological nursing intervention based on the control group .The symptom checklist 90 ( SCL-90 ) , self esteem scale ( SES ) , medical compliance behavior scale, concise Health Questionnaire (SF-36) were chosen to evaluate negative mood , self-esteem, patients'compli-ance and life quality.Results The scores of obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, terror, para-noid, sleep in the observation group after nursing were lower than those in the control group with statistical significance ( P <0.05 ).Compliance score and respect level score in the observation group were higher than those in the control group with statistical significance ( P<0.05 ) .Life quality in physical function , social function in the observation group were higher than those in the control group with statis -tical significance ( P<0.05 ) .Conclusions Psychological nursing can reduce the negative emotion of patients with spinal cord injury and improve their compliance behavior and the life quality.