同伴教育联合团体心理干预在脊髓损伤患者中的应用研究

Application of peer education and group psychological intervention in patients with spinal cord injury

目的观察同伴教育联合团体心理干预在脊髓损伤患者心理康复中的效果。方法选择2019年4月-6月间四川大学华西医院康复医学中心收治的脊髓损伤患者为研究对象。使用随机数字表法,将患者随机分为对照组和试验组。对照组行常规心理护理干预方法;试验组在常规心理护理干预方法基础上,辅以同伴教育联合团体心理干预方法。干预前和干预1个月后,比较两组患者焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-Rating Depression Scale,SDS)评分、健康状况调查问卷(the Short Form-36,SF-36)评分,以及康复治疗依从性改变情况。结果共收治脊髓损伤患者51例,最终纳入40例,每组各20例。干预前,两组SAS、SDS、SF-36评分及康复治疗依从性比较,差异均无统计学意义(P>0.05)。干预后,试验组SAS[(28.60±3.30)分]、SDS[(33.35±2.32)分]、SF-36评分[(86.60±4.56)分]及康复治疗依从性[(83.28±5.07)%]均较对照组[(34.75±6.17)、(45.90±3.81)、(80.90±5.19)分,(75.61±5.94)%]改善明显(t=-3.932、-12.580、-3.694、4.397,P<0.001);试验组SAS、SDS评分较干预前下降(P<0.05),SF-36评分、康复治疗依从性较干预前升高(P<0.05);对照组的SAS、SDS、SF-36评分及康复治疗依从性与干预前比较,差异均无统计学意义(P>0.05)。结论运用同伴教育联合团体心理干预能有效促进脊髓损伤患者的心理康复,提高患者康复治疗效果及生活质量。

Objective To explore the application and effect of peer education combined with group psychological intervention in patients with spinal cord injury. Methods patients with spinal cord injury admitted to the Rehabilitation Medicine Center of West China Hospital, Sichuan University from April to June 2019 were selected. According to the random number table method, the patients were randomly divided into the control group and the experimental group.The patients in the control group received routine psychological nursing intervention;while those in the experimental group were given routine psychological nursing intervention, supplemented by peer education and group psychological intervention. Before and 1 month after the intervention, the self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale(SDS), the Short Form-36(SF-36), and the compliance of rehabilitation treatment were compared between the two groups.Result A total of 51 patients with spinal cord injury were admitted and 40 were eventually included, with 20 in each group. Before the intervention, there was no statistically significant difference between the two groups in SAS, SDS, SF-36 or rehabilitation treatment compliance(P>0.05). After the intervention, SAS [(28.60±3.30) points], SDS [(33.35±2.32)points], SF-36 [(86.60±4.56) points], and the rehabilitation treatment compliance [(83.28±5.07) %] in the experimental group were significantly improved compared with those in the control group [(34.75±6.17) points,(45.90±3.81) points,(80.90±5.19) points,(75.61±5.94) %;t=-3.932,-12.580,-3.694, 4.397, P<0.001]. After the intervention, SAS and SDS of the experimental group decreased compared with those before the intervention(P<0.05);while SF-36 and rehabilitation treatment compliance were higher than those before the intervention(P<0.05). Compared with those before the intervention, the SAS, SDS, SF-36 and rehabilitation treatment compliance of the control group after the intervention were not statistically significant(P>0.05). Conclusion Group psychological intervention combined with peer education can effectively promote the psychological rehabilitation of patients with spinal cord injury and improve the curative effect and patients’ quality of life.