本文選題：脊髓損傷　切入點(diǎn)：心理護(hù)理　出處：《重慶醫(yī)學(xué)》2017年26期

【摘要】：目的探討敘事治療在脊髓損傷(SCI)患者心理康復(fù)中的作用。方法抽取新發(fā)住院SCI患者212例,分為敘事組和對(duì)照組,對(duì)照組進(jìn)行常規(guī)心理康復(fù),敘事組在此基礎(chǔ)上進(jìn)行敘事治療。隨訪1年,比較兩組患者的日常生活活動(dòng)(ADL)能力、心理狀態(tài)和生存質(zhì)量在隨訪前、后的差別。結(jié)果隨訪1年后,兩組ADL能力均有提高,但組間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。敘事組各方面的心理狀態(tài)均明顯優(yōu)于對(duì)照組(P0.05);敘事組生存質(zhì)量總評(píng)分顯著提高,效果優(yōu)于對(duì)照組(P0.05),差異主要表現(xiàn)在心理層面(心理、獨(dú)立性、社會(huì)關(guān)系、精神支持)。結(jié)論與常規(guī)治療相比,敘事治療可有效提高新發(fā)SCI患者的心理狀態(tài)和生存質(zhì)量,對(duì)后續(xù)康復(fù)具有積極作用。
[Abstract]:Objective to explore the role of narrative therapy in psychological rehabilitation of patients with spinal cord injury (sci). Methods 212 newly diagnosed SCI patients were selected and divided into narrative group and control group. The narrative group was followed up for 1 year to compare the ability of ADL, psychological state and quality of life before and after follow-up. Results after one year follow-up, the ability of ADL was improved in both groups. However, there was no significant difference between the two groups (P 0.05). The psychological state of the narrative group was significantly better than that of the control group (P 0.05), and the total score of the quality of life in the narrative group was significantly higher than that of the control group (P 0.05), and the difference was mainly in the psychological level (psychology, independence). Conclusion compared with conventional therapy, narrative therapy can effectively improve the mental state and quality of life of newly diagnosed SCI patients, and play a positive role in the follow-up rehabilitation.
【作者單位】： 南昌大學(xué)護(hù)理學(xué)院;南昌大學(xué)第二附屬醫(yī)院康復(fù)科;
【基金】：江西省科技廳科技支撐項(xiàng)目(20151BBG70248);江西省科技廳科技支撐項(xiàng)目(20151BBG70187)
【分類號(hào)】：R473.6
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本文編號(hào)：1655944