臂丛神经损伤患者伤残接受度与创伤后应激反应的相关性研究

Relationship between acceptance of disability and posttraumatic stress response in patients with brachial plexus injury

目的探讨臂丛神经损伤患者的创伤后应激反应与伤残接受度的关系。方法采用事件影响量表修订版(IES-R)、伤残接受度量表(ADS)和患者一般情况和损伤特征调查表,对160例臂丛神经损伤患者进行调查,并作相关分析。结果臂丛神经损伤患者的伤残接受度属于中等程度,评分为(79.07±11.99)分。臂丛神经损伤患者普遍存在创伤后应激反应,IES-R总分为4-66(33.51±14.41)分,82.5%的调查对象IES-R总分>19分。伤残接受度与创伤后应激反应之间存在显著负相关,并具有统计学意义(r=-0.480,P=0.000)。结论护士应该重视患者的伤残接受度和创伤后应激反应,并根据患者的实际情况,给予有针对性的健康宣教和有效的心理干预措施等,以提高患者的心理健康水平和生活质量。

Objective To determine the relationship between acceptance of disability and posttraumatic stress response in patients with brachial plexus injury. Methods Total 160 patients with brachial plexus injury were recruited and investigated with the Impact of Event Scale-Revised （IES-R） and the Acceptance of Disability Scale （ADS）. Results The total score of ADS was （79.07±11.99） which showed medium level of acceptance of disability. The total score of IES-R was 4-66 （33.51± 14.41）, which showed that most of the patients suffered from posttraumatic stress response. Significantly negative correlation was found between acceptance of disability and posttraumatie stress response（r=-0.480, P〈0.001 ）. Conclusions Nurses should pay more attention to the acceptance of disability and posttraumatic stress response in patients with braehial plexus injury, and provide appropriate health education and effective psychological intervention to improve the patients＇ mental health and quality of life.