分析阶段性心理护理干预对脊柱骨折合并脊髓损伤患者心理弹性及睡眠质量的影响

To Analyze the Effect of Phased Psychological Nursing Intervention on the Psychological Elasticity and Sleep Quality of Patients with Spinal Fracture and Spinal Cord Injury

目的:分析阶段性心理护理干预对脊柱骨折合并脊髓损伤患者心理弹性及睡眠质量的影响。方法:选取2020年1月至2021年12月福建医科大学附属第一医院收治的脊柱骨折合并脊髓损伤患者200例作为研究对象,按照随机数字表法分为观察组和对照组,每组100例。对照组给予常规护理干预,观察组给予阶段性心理护理,采用心理弹性量表(CDRISC)判定患者心理状态的改善情况,包含精神支撑、控制度、对变化承受度、消极情绪调节、能力评价等;采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的改善情况,并且记录尿路感染、骶尾部压疮、下肢深静脉血栓、肺部感染等发生例数。结果:治疗后,观察组CD-RISC评分显著高于对照组,观察组PSQI评分显著低于对照组,观察组并发症发生率显著低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:脊柱骨折合并脊髓损伤患者接受阶段性心理护理干预,能让患者保持良好的心理弹性,更好地控制并发症的发生,有效提升睡眠质量,值得临床推广使用。

Objective:To analyze the effect of phased psychological nursing intervention on the psychological elasticity and sleep quality of patients with spinal fracture and spinal cord injury.Methods:A total of 200 patients with spinal fracture combined with spinal cord injury who were admitted to the First Affiliated Hospital of Fujian Medical University from January 2020 to December2021 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 100 cases in each group.The control group was given routine nursing intervention,and the observation group was given phased psychological nursing intervention.The improvement of patient’s psychological status was judged by the Mental Resilience Scale(cd-risc),including mental support,control,tolerance to change,negative emotion regulation,ability evaluation,etc;Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of sleep quality between the 2 groups,and the incidence of urinary tract infection,sacrococcygeal pressure ulcers,deep venous thrombosis of lower limbs and pulmonary infection were recorded.Results:After treatment,the cd-risc score of the observation group was significantly higher than the control group,the PSQI score of the observation group was significantly lower than the control group,and the complication rate of the observation group was significantly lower than the control group.The difference between the 2 groups was statistically significant(P>0.05).Conclusion:Staged psychological nursing intervention for patients with spinal fracture and spinal cord injury can keep good psychological resilience,better control the occurrence of complications,and effectively improve sleep quality.It is worth popularizing in clinical practice.