心理疏导对重型颅脑损伤患者焦虑、抑郁情绪的影响

Effect of psychological guidance on anxiety and depression of patients with severe craniocerebral injury

目的探讨心理疏导对重型颅脑损伤患者焦虑、抑郁情绪的影响情况。方法分析我院2013年1月~2016年12月神经外科收治的重型颅脑损伤患者66例临床资料,依据是否实施心理疏导进行分组,心理疏导组36例和常规护理组30例。观察两组重型颅脑损伤患者焦虑评分、抑郁评分、社会支持评分、神经功能评分情况。结果两组重型颅脑损伤患者护理前神经功能评分、社会支持评分、焦虑评分、抑郁评分均无明显差异(P>0.05),护理后常规护理组和心理疏导组重型颅脑损伤患者神经功能评分、焦虑评分、抑郁评分低于护理前,社会支持评分高于护理前,心理疏导组重型颅脑损伤患者神经功能评分、焦虑评分、抑郁评分低于常规护理组,社会支持评分高于常规护理组,差异均有统计学意义(P<0.05)。结论心理疏导在重型颅脑损伤患者中应用,可以恢复神经功能,改善焦虑、抑郁情绪,值得临床推广应用。

Objective To explore effect of psychological guidance on anxiety and depression of patients with severecraniocerebral injury.Methods Clinical data of66patients with severe craniocerebral injury who were admittedto department of neurosurgery in our hospital from January2013to December2016were analyzed.They weredivided into the psychological guidance group with36cases and the routine nursing group with30cases accordingto implementation of psychological guidance.Anxiety score,depression score,social support score and neurologicalfunction score of patients with severe craniocerebral injury in two groups were observed.Results Neurologicalfunction score,social support score,anxiety score and depression score of patients with severe craniocerebral injuryin two groups all had no statistical difference(P>0.05).Neurological function score,anxiety score and depressionscore after nursing of patients in the routine nursing group and the psychological guidance group were lower thanthose before nursing while social support score was higher than that before nursing.Neurological function score,anxiety score and depression score of patients with severe craniocerebral injury in the psychological guidance werelower than those in the routine group while social support score was higher than that of the routine group,differenceswere statistically significant(P<0.05).Conclusion Application of psychological guidance in patients with severecraniocerebral injury can recover neurological function and imp rove anxiety and depression,which is worthy of clinicalpromotion and application.