治疗性沟通对提高脑外伤偏瘫患者伤残接受度的效果观察

Effect of therapeutic communication on improving the acceptance of disability in patients with hemiplegia due to traumatic brain injury

目的探讨治疗性沟通应用于脑外伤偏瘫患者以提高其伤残接受度和减轻自我感受负担的效果。方法70例脑外伤偏瘫患者分为对照组和观察组,每组35例。对照组给予一般性沟通,观察组在对照组的基础上实施治疗性沟通。两组患者均实施为期2个月的干预。对比两组干预后患者伤残接受度评分和自我感受负担评分情况。结果观察组患者伤残接受度的扩大、从属、包容、转变4个维度得分及总分均明显高于对照组,自我感受负担中的经济、身体、情感3个维度得分和总分均明显低于对照组,差异均有统计学意义(均P<0.01)。结论治疗性沟通可有效提高脑外伤偏瘫患者伤残接受度和减轻自我感受负担。

Objective To explore the use of therapeutic communication in patients with hemiplegia due to traumatic brain injury to improve the acceptance of disability and reduce the burden of self-feeling. Methods Seventy patients with hemiplegia due to traumatic brain injury who met the inclusion and exclusion criteria were divided into the Control Group and Observation Group, 35 cases in each group. The Control Group was given general communication while the Observation Group was given therapeutic communication on the basis of the same treatment as the Control Group. Both groups underwent a two-month intervention. After the end of the intervention, the disability acceptance score and self-feeling burden score of the two groups were compared and analyzed. Results The Observation Group had the disability acceptance score significantly higher than the Control Group in terms of the four dimensions including expansion, subordination, inclusion and transformation and the total score. The Observation Group had self-feeling burden score significantly lower than the Control Group in terms of the three dimensions including financial, physical and emotional dimension and the total score, and the differences were statistically significant (P<0.01). Conclusion Therapeutic communication can effectively improve the acceptance of disability and reduce the burden of self-feeling in patients with hemiplegia due to traumatic brain injury.