自我护理训练对改善脊髓损伤患者情绪障碍的效果观察

Application of Self-care Ability Training to Ameliorate Mood Disorder of Inpatients with Spinal Cord Injury

目的探讨自我护理训练在脊髓损伤住院患者情绪改善方面的作用。方法 38例脊髓损伤住院患者随机分为自我护理训练与常规护理两组,其中自我护理训练组(观察组,n=20)由责任护士对患者进行自我护理能力训练与培养,常规护理组(对照组,n=18)进行常规护理。两组患者入组前及入组干预后4周应用汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评估患者情绪,改良Barthel指数评定量表(modified Barthel index,MBI)评定日常活动能力(activity of daily living scale,ADL)。结果与对照组相比,观察组患者在进行自我护理训练后,其抑郁、焦虑分值及MBI均有明显改善,差异具有统计学意义(P<0.05)。结论自我护理能力的提高,能够显著改善脊髓损伤患者的情绪,提高患者的日常活动能力,促进患者早日回归家庭。

Objective To study the effects of Self-care ability training in mood disorder of inpatients withspinal cord injury （SCI）. Methods A total of 38 SCI inpatients were randomly divided into experimental group accepting self- care ability training （n = 20） and control group accepting routine care （n = 18） respectively. Hamilton Depression Scale （HAMD） and Hamilton Anxiety Scale （HAMA） were used to assess the patients＇ affections, and modified Barthel index （MBI） were applied to evaluate the abilities of daily activities. Results HAMD, HAMA and MBI scores of the experi- mental group were lower than those of the control group （P〈0. 05）. Conclusion The improvement of self-care ability can ameliorate the negative mood of SCI patients, improve their activity of daily life and enhance them to return family.