叙事治疗在脊髓损伤患者心理康复中的应用研究

发布时间：2018-03-24 00:35

  本文选题：脊髓损伤　切入点：心理护理　出处：《重庆医学》2017年26期

【摘要】：目的探讨叙事治疗在脊髓损伤(SCI)患者心理康复中的作用。方法抽取新发住院SCI患者212例,分为叙事组和对照组,对照组进行常规心理康复,叙事组在此基础上进行叙事治疗。随访1年,比较两组患者的日常生活活动(ADL)能力、心理状态和生存质量在随访前、后的差别。结果随访1年后,两组ADL能力均有提高,但组间差异无统计学意义(P0.05)。叙事组各方面的心理状态均明显优于对照组(P0.05);叙事组生存质量总评分显著提高,效果优于对照组(P0.05),差异主要表现在心理层面(心理、独立性、社会关系、精神支持)。结论与常规治疗相比,叙事治疗可有效提高新发SCI患者的心理状态和生存质量,对后续康复具有积极作用。
[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.
【作者单位】： 南昌大学护理学院;南昌大学第二附属医院康复科;
【基金】：江西省科技厅科技支撑项目(20151BBG70248);江西省科技厅科技支撑项目(20151BBG70187)
【分类号】：R473.6
，

本文编号：1655944