合理情绪疗法对脊髓损伤患者创伤后成长的影响研究

Effect of Rational-Emotive Therapy on the Posttraumatic Growth(PTG) in Patients with Spinal Cord Injuries

目的探讨合理情绪疗法对意外脊髓损伤患者创伤后成长水平的影响。方法采用目的抽样法在脊柱外科选取意外脊髓损伤住院患者66例,将其随机分为干预组和对照组各33例,两组患者均进行常规护理,干预组在此基础上采用合理情绪疗法。两组患者均于干预前(T1)、干预后(T2)和干预结束后3个月(T3)采用创伤后成长量表(PTGI)评价患者创伤后成长水平。结果干预前(T1)两组在PTGI得分上差异均无统计学意义(P>0.05),干预后,重复测量方差分析结果显示干预组的PTGI与对照组相比差异具有统计学意义(P<0.01)。干预组PTGI各维度得分在T2和T3均高于对照组,其中人际关系、新的可能性、个人力量、欣赏生活这四个维度得分与对照组相比在时间上具有统计学意义(P<0.05),精神改变维度得分差异无统计学意义(P>0.05)。结论合理情绪疗法能有效提高意外脊髓损伤患者创伤后成长水平。

Objective To evaluate the effect of Rational-Emotive Therapy on the posttraumatic growth in patients with spinal cord injuries. Method Using purposeful sampling method to recruit 66 patients admitted to Department of Spinal Surgery with accidental spinal cord injuries. The patients were randomly divided into intervention group（n=33） and control group（n=33）. The patients accepted routine care and those in intervention group accepted extra Rational-Emotive Therapy. Posttraumatic growth level was evaluated for both groups with Posttraumatic Growth Inventory（PTGI） at three stage, before intervention（T1）, after intervention（T2） and 3 months after intervention（T3）. Result PTGI scores of two groups at T1 was not significantly different（P〉0.05）. After intervention, ANOVA for repeated measures showed significant difference for PTGI between intervention group and control group（P〈0.01）. Scores of PTGI dimensions of intervention group were higher than that of control group, and the difference were significant for Relating to others, New possibilities, Personal strength and Appreciation of life, and not significant for Spiritual change（P〈0.05）. Conclusion Rational-Emotive Therapy effectively improved PTG level of patients with spinal cord injuries.