心理疏导对轻中度颅脑损伤患者创伤后成长及自我效能感的影响

Effect of psychological counseling on post-traumatic growth and self-efficacy in patients with mild-moderate craniocerebral injury

目的:探讨心理疏导对轻中度颅脑损伤患者创伤后成长及自我效能感的改善效果。方法:回顾性分析2016年5月至2018年12月期间于我院就诊的126例轻中度颅脑损伤患者的临床资料,对所有入选者均已实施常规护理干预,同时依据其是否接受心理疏导干预,进一步划分为对照组(未接受心理疏导干预,63例)与观察组(接受心理疏导干预,63例),比较两组干预前后创伤后成长、自我效能感及负性心理改善情况。结果:干预前,两组患者创伤后成长评定量表(PTGI)各维度评分对比,差异无统计学意义;干预20d后,观察组患者PTGI各维度评分均高于对照组患者,差异有统计学意义(t=5.987,P<0.01);干预前,两组患者一般自我效能感量表(GSES)评分对比,差异无统计学意义;干预20d后,观察组患者GSES评分均高于对照组患者,差异有统计学意义(t=31.381,P<0.01);干预前,两组患者抑郁自评量表(SDS)评分对比,差异无统计学意义;干预20d后,观察组患者SDS评分均低于对照组患者,差异有统计学意义(t=8.906,P<0.01)。结论:轻中度颅脑损伤患者在常规护理基础上采取心理疏导,可有效促进创伤后成长,利于提高自我效能感,减轻负性情绪。

Objective:To investigate the effects of psychological counseling in improving post-traumatic growth and self-efficacy in patients with mild-moderate craniocerebral injury.Methods:The clinical data of 126 patients with mild-moderate craniocerebral injury in the hospital from May 2016 to December 2018 were retrospectively analyzed.All selected cases were given routine nursing intervention.According to whether received psychological counseling intervention or not,they were further divided into control group(63 patients who did not receive psychological counseling intervention)and observation group(63 patients who received psychological counseling intervention).The post-traumatic growth,self-efficacy,improvement of negative emotion before and after intervention were compared between two groups.Results:Before intervention,there was no statistical difference in the scores of Posttraumatic Growth Inventory(PTGI)between two groups;After intervention for 20 d,the scores of PTGI in observation group were higher than those in control group(t=5.987,P<0.01);Before intervention,there was no statistical difference in the scores of General Self-Efficacy Scale(GSES)between two groups;After intervention for 20 d,the scores of GSES in observation group were higher than those in control group(t=31.381,P<0.01);Before intervention,there was no statistical difference in the scores of Self-Rating Depression Scale(SDS)between two groups;After intervention for 20 d,the scores of SDS in observation group were lower than those in control group(t=-8.906,P<0.01).Conclusion:Psychological counseling on the basis of routine nursing for patients with mild-moderate craniocerebral injury can promote post-traumatic growth,increase self-efficacy,and reduce negative emotion.