心理干预对急诊深度烧伤患者创伤后应激障碍发生影响.docVIP

心理干预对急诊深度烧伤患者创伤后应激障碍发生影响 　　【摘要】 目的：探讨心理干预对急诊深度烧伤患者创伤后应激障碍（PTSD）发生的影响。方法：选取本院急诊深度烧伤患者126例作为研究对象，随机将其分为观察组64例和对照组62例，观察组给予常规护理联合心理干预，对照组仅给予常规护理，比较两组PTSD发生率及其程度的差异。结果：观察组PTSD发生率低至29.69%，明显低于对照组（51.61%），两组比较差异具有统计学意义（P0.05），观察组PTSD评分（再体验，回避、麻木，警觉性增高和PTSD总分）均明显低于对照组，SAS评分和SDS评分均明显低于对照组，伤残接受度评分和心理弹性评分均明显高于对照组，两组比较差异具有统计学意义（P0.05）。结论：心理干预有助于降低急诊深度烧伤患者PTSD率，改善PTSD程度及其焦虑抑郁情绪，同时辅助患者早期接受伤残，提高自我战胜疾病的信心。 　　【关键词】 心理干预； 急诊深度烧伤； 创伤后应激障碍 　　【Abstract】 Objective：To investigate the effect of psychological intervention on post-traumatic stress disorder （PTSD） of emergency deep burn patients.Method：126 emergency deep burn wounds patients in our hospital were selected as research objects， they were randomly divided into two groups， the observation group（64 cases） received routine nursing combined with mental intervention， control the group（62 cases） was given routine nursing， the incidence and degree of PTSD were compared. Result：The PTSD incidence of the observation group was low to 29.69%， which was significantly lower than the control group（51.61%），there was a statistically significant difference between the two groups（P0.05），the PTSD score （re experience，avoidance， numbness，alertness heighten and total PTSD） of observation group were significantly lower than control group，SAS score and SDS score were significantly lower than control group，the acceptance of disability score and psychological resilience score were significantly higher than control group， the difference between groups was significant（P0.05）.Conclusion： The psychological intervention is helpful to reducing PTSD rate of emergency deep burn patients，improving PTSD degree，anxiety and depression，also assisting in early disability acceptance， improving self confidence to overcome disease. 　　【Key words】 Psychological intervention； Emergency deep burn； Posttraumatic stress disorder 　　First-author’s address：The Peoples Hospital of Puning City， Puning 515300，China 　　doi：10.3969/j.issn.1674-4985.2015.21.033 　　创伤后应激障碍（Post-T