高原重症外伤患者心理分析及护理

A psychological analysis and nursing of severe traumatic patients in Tibet plateau

目的了解高原重症外伤患者的心理状况,探讨护理对策。方法采用医院焦虑抑郁量表对130例高原重症外伤患者进行问卷调查。结果130例高原重症外伤患者出现焦虑及抑郁78例,占60%,其中女性、大龄、自费患者的焦虑和抑郁分值较高(P<0.05或P<0.01);患者伤残程度和治愈时间与其焦虑、抑郁分值呈显著正相关(P均<0.01);而心理干预后焦虑和抑郁分值均较干预前显著降低(P<0.05或P<0.01)。结论高原重症外伤患者存在不同程度的焦虑和抑郁,加强心理护理十分必要。

Objective To investigate the psychological status of severe traumatic patients in Tibet plateau, and explore the nursing strategy. Method 130 severe traumatic patients in Tibet plateau were assessed with HAD (Hospital Anxiety and Depression Scale). Results The results showed that 78 cases out of 130 patients suffered from anxiety and depression, which accounted for 60%. The female, aged and patients at their own expenses had higher scores of anxiety and depression (P<0.05 or P<0.01); the degree of injured and the time of heal had positive correlation with the scores of anxiety and depression (all P<0.01); and the scores of anxiety and depression with mental intervention were lower than those before taking mental intervention (P<0.05 or P<0.01). Conclusion The severe traumatic patients in Tibet plateau may suffer from different degree of anxiety and/or depression, and it's necessary to strengthen the psychological nursing.