基于罗森塔尔效应心理干预对四肢创伤患者情绪及创伤后成长的影响

Influence of psychological intervention based on Rosenthal effect on emotion and post-traumatic growth of patients with limb trauma

目的探讨基于罗森塔尔效应的心理干预对四肢创伤患者情绪及创伤后成长的影响。方法将130例四肢创伤患者按入院时间分为研究组与对照组,各65例。两组均给予常规干预,研究组在此基础上给予基于罗森塔尔效应的心理干预,观察2个月。干预后比较两组遵医行为,于干预前及干预1个月、2个月末采用贝克焦虑自评量表及贝克抑郁自评量表评定焦虑抑郁情绪,采用创伤后成长评定量表评定创伤后成长水平,采用伤残接受度量表评定伤残接受度,采用特质应对方式问卷评定应对方式,比较两组护理满意度。结果研究组功能锻炼、情绪控制、压力管理、常规复查遵医率显著高于对照组(P<0.05)。干预1个月末起两组贝克焦虑自评量表及贝克抑郁自评量表评分均较干预前显著持续下降(P<0.01),研究组较对照组下降更显著(P<0.01);两组创伤后成长评定量表及伤残接受度量表评分均较干预前显著持续升高(P<0.01),研究组较对照组升高更显著(P<0.01)。干预1个月末起两组特质应对方式问卷积极应对评分均较干预前显著升高(P<0.01),研究组较对照组升高更显著(P<0.01),两组消极应对评分均较干预前显著降低(P<0.01),研究组较对照组下降更显著(P<0.01)。研究组护理总满意率显著高于对照组(P<0.05)。结论基于罗森塔尔效应的心理干预有助于缓解四肢创伤患者的焦虑抑郁情绪,促进其创伤后成长,增加遵医行为,提高护理满意度。

Objective To explore the effect of psychological intervention based on Rosenthal effect on emotion and post-traumatic growth of patients with limb trauma.Methods A total of 130 patients with limb trauma were divided into study group and control group according to the time of admission,65 cases in each group.The control group was given routine intervention,and the observation group was given psychological intervention based on Rosenthal effect on the basis of the control group.The observation lasted for 2 months.After the intervention,the compliance behaviors of the two groups were compared.The Beck anxiety inventory(BAI)and Beck depression inventory(BDI)were used to assess anxiety and depression before intervention and at the end of 1 month and 2 months after intervention.The posttraumatic growth inventory(PTGI)was used to assess the level of posttraumatic growth,the acceptance of disability scale(AODS)was used to assess the degree of disability acceptance,and the traint coping style questionnaire(TCSQ)was used to assess the coping style.The nursing satisfaction of the two groups was compared.Results The functional exercise,emotional control,stress management,and routine review medical compliance rate of the observation group were higher than those of the control group(P<0.05).From the end of the first month of intervention,BAI and BDI scores of the two groups were significantly decreased(P<0.01),and the decrease of the study group was more significant than that of the control group(P<0.01).PTGI and AODS scores in both groups were significantly and continuously increased compared with those before intervention(P<0.01),and the increase in the study group was more significant than that in the control group(P<0.01).After one month of intervention,the positive coping scores of TCSQ in both groups were significantly higher than those before intervention(P<0.01),and the increase in the study group was more significant than that in the control group(P<0.01).The negative coping scores in both groups were significantly lower than those before intervention(P<0.01),and the decrease in the study group was more significant than that in the control group(P<0.01).The total satisfaction rate of nursing care in the study group was significantly higher than that in the control group(P<0.05).Conclusions Psychological intervention based on Rosenthal effect can help relieve the anxiety and depression of patients with limb trauma,promote their post-traumatic growth,increase compliance behavior,and improve nursing satisfaction.