基于心理日记记录的个体化干预对骨折创伤后应激障碍的影响

Effect of individualized intervention based on psychological diary on post-traumatic stress disorder after fracture

目的观察基于心理日记记录的个体化干预对骨折创伤后应激障碍(PTSD)的影响。方法选取笔者医院2018年12月—2019年12月收治的80例骨折后发生创伤后应激障碍患者为研究对象,按照随机数字表法将其分为日记组和常规组,各40例。2组患者均接受精神类药物配合常规护理干预治疗,日记组在此基础上结合心理日记记录的个体化干预。比较2组患者创伤后应激障碍检查表(PCL-C)评分、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、生存质量评定表(QLQ-C30)评分及护理满意度。结果实施干预后,日记组PCL-C各项评分、SDS评分及SAS评分均低于常规组(P<0.05),日记组患者QLQ-C30评分及护理总满意度评分显著高于常规组(P<0.05)。结论基于心理日记记录的个体化干预对减轻骨折患者PTSD症状,调整其心理状态,改善其生活质量具有重要临床意义。

Objective To observe the effect of individualized intervention based on psychological diary on post-traumatic stress disorder(PTSD)after fracture.Methods 80 patients with post-traumatic stress disorder after fracture in our hospital from December 2018 to December 2019 were selected as the research subjects,and they were divided into diary group and routine group according to the random number table method,with 40 cases in each group.The patients in two groups were treated with psychotropic drugs combined with routine nursing intervention,and the diary group received individualized intervention combined with psychological diary record on this basis.The scores of PCL-C,SDS,SAS,QLQ-C30 and nursing satisfaction were compared between the two groups.Results After the intervention,the scores of PCL-C,SDS and SAS in the diary group were lower than those in the routine group(P<0.05).The QLQ-C30 score and the total nursing satisfaction score in the diary group were significantly higher than those in the routine group(P<0.05).Conclusion Individualized intervention based on psychological diary records has important clinical significance in reducing PTSD symptoms,adjusting their psychological state and improving their life quality in patients with PTSD.