心理干预对脊髓损伤截瘫抑郁患者生活质量的影响

Psychological intervention on depression in patients with spinal cord injury paraplegia quality of life

目的:探讨脊髓损伤致截瘫患者抑郁症的发生率及心理护理干预方法,使患者重建健康的心理状态,主动参与康复训练,最大程度地康复,提高生活质量。方法:采用自评抑郁量表(SDS)对随机抽取的120例脊髓损伤截瘫患者进行问卷调查,对有抑郁症状的患者实施1个月心理护理干预后再进行SDS评分。结果:脊髓损伤截瘫患者抑郁症发生率为45.83%(55/120),实施心理护理干预1个月后,有抑郁症状的患者,病情明显改善。结论:针对脊髓损伤截瘫患者抑郁症发生率增高的现象,护士应采取有效的心理干预,预防和控制抑郁症的发生,增加患者康复的信心,提高患者生活质量。

Objective：The dissuasion spinal cord damage sends paraplegia patient depression the formation rate and carries on the psychological nursing intervention, causes the patient to reconstruct the health the psychology, the coordinate treatment, participates in the recovery training on own initiative, the greatest degree recovery, improves the quality of life. Methods ：120 example spinal cord damage paraplegia patients were given questionnaire by SDS. Implements 1 month psychology nursing intervention after all patients carries on the SDS grading again. Results ：The spinal cord damage paraplegia patient depression formation rate was 45.83% （55/120）, implementation psychology nursing intervenes 1 month later, has the despondent symptom patient before the nursing intervention the despondent symptom was lower than the intervention obviously （ P 〈 0.05 ）. Conclusion ： The phenomenon which advances in view of the spinal cord damage paraplegia patient depression formation rate, nurse should adopt the effective psychological intervention, the prevention and the control depression occurrence, strengthens belief which the patient is restored to health, improves the patient quality of life.