心理干预对颅脑损伤并发精神障碍患者情绪状态、生活质量及功能康复的影响

Influence of psychological intervention on emotional status, quality of life and functional rehabilitation in patients with mental disorders caused by traumatic brain injury

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

汉中3201医院 ;
汉中勉县人民医院 ;
汉中3201医院 ;

摘要
【摘要】探讨心理护理干预对颅脑损伤(TBI)后并发精神障碍患者情绪状态、生活质量及功能康复情况的影响。方法 将TBI后精神障碍患者84例随机分为观察组与对照组,各42例。对照组实施常规护理,观察组在对照组基础上实施心理护理干预。干预前及干预8周后,比较两组中国神经功能障碍量表(CSS)、改良Barthel指数(BMI)、功能独立性评定量表(FIM)、护士用住院患者观察量表(NOSIE-30)、TBI患者生活质量量表(QOL-IBRI)评分及护理满意度。结果 干预后观察组的CSS评分显著低于对照组,BMI及FIM评分显著高于对照组(P<0.05);干预后两组NOSIE-30及QOL-IBRI量表评分均显著改善,且观察组的改善幅度显著高于对照组(P<0.05);观察组的护理满意度为95.24%,显著高于对照组的80.95%(P<0.05)。结论 心理干预能够改善TBI并发精神障碍患者的情绪状态,提高功能康复效果及生活质量,值得临床推广。
Abstract
【Abstract】 Objective To investigate the influence of psychological intervention on emotional status, quality of life and functional rehabilitation in patients with mental disorders caused by traumatic brain injury (TBI).Methods A total of 84 patients with mental disorders after TBI were randomly divided into observation group and control group,each with 42 cases.In the control group,patients were given routine nursing,while the observation were given Psychological Intervention on the basis of control group.The scores of Chinese Neurological Disorder Scale (CSS), Modified Barthel Index (BMI), Functional Independence Measures (FIM), Nurses’ Observation Scale For Inpatient Evaluation (NOSIE-30), Quality of Life After Traumatic Injury (QOL-IBRI) and nursing satisfaction were compared between the two groups 8 weeks after intervention.Results After intervention, the score of CSS in observation group was significantly lower than the control group,and scores of BMI and FIM were significantly higher (P<0.05); After intervention,the scores of NOSIE-30 and QOL-IBRI in the two groups were significantly improved,and the improvement of observation group were significantly better(P<0.05);The nursing satisfaction rate of observation group was 95.24%, which was significantly higher than 80.95% of the control group (P<0.05). Conclusion Psychological intervention can improve the emotional status of patients with mental disorders caused by TBI, improve the effect of functional rehabilitation and quality of life, it is worthy of clinical popularization.
关键词
【关键词】颅脑损伤;精神障碍;心理干预;情绪状态;生活质量;康复;功能
KeyWord
【Key words】Traumatic brain injury; Mental disorders; Psychological intervention; Emotional status; Quality of life; Rehabilitation; Function
基金项目
页码 542-531
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殷汉荣,喇新军,朱婵娟, 戈娜,王智玲*. 心理干预对颅脑损伤并发精神障碍患者情绪状态、生活质量及功能康复的影响 [J]. 国际精神病学杂志. 2017; 44; (3). 542 - 531.

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邹**南方医科****** 已认证✔

2025-08-21 04:54:05

文章探讨了心理护理干预对TBI后的影响,评价指标较为全面可反应受试者干预后的整体功能康复情况,有一定临床意义。

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