急性创伤住院患者并发应激障碍的护理

Prevention nursing of stress disorder in acute traumatic inpatients

目的探讨护理干预对预防急性创伤住院患者并发应激障碍的效果及对心理状况的影响。方法按患者住院时间、年龄、文化程度、病程等条件选择2009年9月至2010年8月急性创伤住院患者50例作为实验组，在常规护理基础上进行心理干预，2008年9月至2009年8月急性创伤住院患者50例作为对照组，采用常规护理。比较两组1周及2周后的创伤后急性心因性反应发生率和发生的严重程度。结果实验组患者2周后HAMD评分为（9．11±2．85）分，HAMA评分结果为（9．25±2．71）；对照组评分结果分别为（13．50±2．75）分和（14．01±3．71）分，组间比较差异具有统计学意义（t分别为0．806，7．326；P〈0．05）。结论护理干预对急性创伤住院患者预防并发急性应激障碍有积极的意义，有利于提高患者的疾病应对水平，并有利于患者配合治疗及康复。

Objective To explore the effects of nursing intervention on prevention of acute traumatic stress disorder inpatients and theirs psychological conditions. Methods According to patient length of stay, age, education, course conditions, 50 cases of hospitalized patients with acute trauma were selected as experimental group from September 2009 to August 2010 and were implemented psychological intervention on basis of ordinary nursing. Another 50 cases with acute trauma were selected as control group from September 2008 to August 2009 with conventional care. 1 week and 2 weeks incidence and severity were compare between the two groups after post-traumatic acute psychogenic reaction. Results Experimental group 2 week HAMD score was （9.11 ± 2.85 ） and HAMA score was （9.25 ± 2.71 ）, those in control group were （ 13.50 ± 2.75 ） and （ 14.01 ± 3. 712）, respectively, and the difference was significant （ t = 0. 806,7. 326, respectively;P 〈 0.05）. Conclusions Nursing intervention on prevention of acute inpatient acute traumatic stress disorder have a positive meaning, help to improve the level of response in patients with the disease and help patients cope with treatment and rehabilitation.