中医情志护理对骨折患者创伤后应激障碍的影响
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摘要
目的探讨中医情志护理对骨折患者创伤后应激障碍的影响。方法按照护理方案不同将50例骨折后发生创伤后应激障碍的患者分为观察组25例和对照组25例,对照组接受常规心理护理,观察组在此基础上接受中医情志护理,比较2组患者治疗效果以及入院时和干预2周后创伤后应激障碍症状量表(PCL-C)、汉密尔顿焦虑量表(HAMA)评分变化情况。结果观察组患者总有效率高于对照组,差异显著(P <0. 05);观察组患者干预2周后PCL-C各项评分低于对照组,差异显著(P <0. 05);观察组患者干预2周后HAMA评分低于对照组,差异显著(P <0. 05)。结论中医情志护理能够有效改善骨折患者创伤后应激障碍症状和焦虑状态,值得临床推荐。
Objective To explore the effect of TCM emotional nursing on post-traumatic stress disorder( PTSD) in fracture patients.Methods According to different nursing plans,50 patients with post-traumatic stress disorder after fracture were divided into observation group( 25 cases) and control group( 25 cases). The control group received routine psychological nursing. The observation group received emotional nursing of traditional Chinese medicine on this basis. The therapeutic effects and symptoms of post-traumatic stress disorder at admission and 2 weeks after intervention were compared between the two groups. Changes in scale( PCL-C) and Hamilton Anxiety Scale( HAMA) score were compared. Results The total effective rate of the observation group was higher than that of the control group,and the difference was significant( P < 0. 05). The PCL-C scores of the observation group were lower than that of the control group after two weeks of intervention( P < 0. 05). The HAMA scores of the observation group were lower than that of the control group after two weeks of intervention( P < 0. 05). Conclusion Emotional nursing of traditional Chinese medicine can effectively improve the symptoms and anxiety state of posttraumatic stress disorder in fracture patients,which is worthy of clinical recommendation.
Objective To explore the effect of TCM emotional nursing on post-traumatic stress disorder( PTSD) in fracture patients.Methods According to different nursing plans,50 patients with post-traumatic stress disorder after fracture were divided into observation group( 25 cases) and control group( 25 cases). The control group received routine psychological nursing. The observation group received emotional nursing of traditional Chinese medicine on this basis. The therapeutic effects and symptoms of post-traumatic stress disorder at admission and 2 weeks after intervention were compared between the two groups. Changes in scale( PCL-C) and Hamilton Anxiety Scale( HAMA) score were compared. Results The total effective rate of the observation group was higher than that of the control group,and the difference was significant( P < 0. 05). The PCL-C scores of the observation group were lower than that of the control group after two weeks of intervention( P < 0. 05). The HAMA scores of the observation group were lower than that of the control group after two weeks of intervention( P < 0. 05). Conclusion Emotional nursing of traditional Chinese medicine can effectively improve the symptoms and anxiety state of posttraumatic stress disorder in fracture patients,which is worthy of clinical recommendation.
引文
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[9]吴萍,赵景云,钱旺兴.中医情志护理干预对改善车祸骨折病人创伤后应激障碍的作用[J].护理研究,2015,29(8):932-935.
[10]张辉,张先庚,梁小利,等.中医情志护理研究进展[J].中国疗养医学,2014,23(3):208-209.
[2]吴长然,高涛,李晓波.心理护理干预对创伤应激障碍患者焦虑抑郁症身心及细胞因子的影响[J].菏泽医学专科学校学报,2017,29(2):59-62.
[3]简凤.创伤后应激障碍患者的中医护理干预研究进展[J].中西医结合护理(中英文),2018,4(5):89-94.
[4]宋琼,李阳,陈长香.焦虑、抑郁对创伤性骨折患者急性应激障碍的影响[J].现代预防医学,2015,42(21):3922-3925.
[5]张文凯,郑胜平,包理忠,等.创伤性骨折患者急性应激障碍情况及其与焦虑、抑郁的相关性分析[J].国际精神病学杂志,2016,43(3):489-492,495.
[6]邱丹.创伤性骨折患者应激障碍特点及护理干预分析[J].西藏科技,2014,39(4):46,51.
[7]王训文.急诊创伤患者应激心理护理中循证护理的应用及对HAMD评分的影响[J].医学理论与实践,2018,31(1):143-145.
[8]况丽,程海冬.中西医结合护理对改善骨折患者创伤后应激障碍的疗效观察[J].四川中医,2016,34(11):209-211.
[9]吴萍,赵景云,钱旺兴.中医情志护理干预对改善车祸骨折病人创伤后应激障碍的作用[J].护理研究,2015,29(8):932-935.
[10]张辉,张先庚,梁小利,等.中医情志护理研究进展[J].中国疗养医学,2014,23(3):208-209.