日记式认知暴露与思维转换对重症创伤患者的心理护理效果

The effect of Diary-based cognitive exposure and thinking conversion on severe trauma patients

目的探讨日记式认知暴露与思维转换对重症创伤患者的心理护理效果。方法本研究对象为2019年6月~2022年1月我院100例重症创伤患者,采用数字表法随机分组。对照组采用常规护理,观察组在常规护理基础上给予日记式认知暴露与思维转换,共护理3个月。护理前、护理1个月、3个月评估创伤后应激障碍(PTSD)筛查量表-居民版(PCL-C)、焦虑自评量表(SAS)、抑郁自评量表(SDS),记录术后PTSD发生情况。结果两组患者护理1个月、3个月后PCL-C均显著高于护理前,但观察组护理1个月、3个月显著低于对照组(P<0.05),观察组PTSD发生率显著低于对照组(P<0.05);两组护理1个月、3个月后SAS评分、SDS评分均显著低于护理前,且观察组显著低于对照组(P<0.05)。结论日记式认知暴露与思维转换能够显著降低重症创伤患者焦虑、抑郁情绪,降低PTSD发生率。

Objective To explore the effect of diary-style cognitive exposure and thinking conversion on severe trauma patients.Methods A total of 100 severely traumatized patients in our hospital from June 2019 to January 2022were the subjects of this study,and randomly divided into groups using the digital table method.The control group was given routine nursing,and the observation group was given diary-style cognitive exposure and thinking transformation on the basis of routine nursing,for a total of 3 months of nursing.Post-traumatic stress disorder(PTSD)screening scale-resident version(PCL-C),self-rating anxiety scale(SAS),self-rating depression scale(SDS)before nursing,1 month and 3 months after nursing were compared.The occurrence of postoperative PTSD was recorded.Results The PCL-C of the two groups of patients at 1 month and 3 months after nursing were significantly higher than those before nursing,but the observation group after 1 month and 3 months after nursing was significantly lower than the control group(P<0.05).The incidence of PTSD in the observation group was significantly lower than that in the control group(P<0.05).The SAS scores and SDS scores of the two groups at 1 month and 3 months after nursing were significantly lower than those before nursing,and the observation group was significantly lower than the control group(P<0.05).Conclusion Diary-based cognitive exposure and thought transformation can significantly reduce anxiety and depression in patients with severe trauma,and reduce the incidence of PTSD.