肢体残疾患者叙事心理康复的应用研究

发布时间：2018-05-19 04:03

本文选题：叙事治疗 + 肢体残疾　；参考：《中国康复医学杂志》2017年10期

【摘要】：目的:探讨叙事治疗对肢体残疾患者心理和生活的影响。方法:从参与研究的6所医院中抽取符合纳入标准的新发病例198例,分为叙事组和对照组,每组99例,住院期间对照组进行常规心理康复,叙事组进行叙事心理治疗。出院后随访1年,比较两组患者的心理状态、日常生活活动(ADL)能力和生存质量在心理康复前和随访后的差别。结果:随访1年后,叙事组的心理状态有明显改善(P0.05),而对照组无明显改善(P0.05)。叙事组和对照组的ADL能力均较治疗前提高(P0.05),叙事组优于对照组(P0.05)。叙事组和对照组的生存质量总评分显著提高,叙事组优于对照组(P0.01),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:与常规心理康复相比,叙事治疗可改善肢体残疾患者的心理状态,提高其自理能力和生存质量。为肢体残疾患者的心理康复提供了新的思考方向。
[Abstract]:Objective: to explore the influence of narrative therapy on the psychology and life of patients with physical disability. Methods: 198 new cases were selected from 6 hospitals and divided into narrative group (99 cases) and control group (99 cases). The control group was treated with routine psychological rehabilitation while the narrative group was treated with narrative psychotherapy. The mental state, ADL and quality of life of the two groups were compared before and after psychological rehabilitation. Results: after 1 year follow-up, the psychological state of the narrative group was significantly improved, while that of the control group was not significantly improved. The ability of ADL in narrative group and control group was higher than that before treatment, and that in narrative group was better than that in control group. The total scores of quality of life of narrative group and control group were significantly improved, and the narrative group was superior to the control group (P 0.01). The difference was mainly in psychological level (psychological, independence, social relations, spiritual support). Conclusion: compared with routine psychological rehabilitation, narrative therapy can improve the mental state, self-care ability and quality of life of patients with physical disability. It provides a new thinking direction for the psychological rehabilitation of patients with physical disability.
【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(20151BBG70248,20151BBG70187)
【分类号】：R49

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