压力接种锻炼对住院骨折患者负性情绪的影响

Effect of stress inoculation training on negative emotion of inpatients with fracture

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

武汉市红十字会医院 ;

摘要
【摘要】目的:探究压力接种锻炼对住院骨折患者负性情绪的影响。方法:选取2014年1月至2016年7月于我院接受治疗的84例住院骨折患者为研究对象,按照随机数表法将患者平均分为两组,试验组与对照组各42例。两组患者均接受常规治疗,并接受健康心理辅导与教育。试验组在常规治疗与教育的基础上同时接受压力接种锻炼,每周择固定时间进行一次,每次进行九十分钟,进行八周后停止。在八周后对两组患者分别进行问卷调查,以汉密顿抑郁量表HRSD和汉密顿焦虑量表HAMA评分来评价患者负性情绪,以GQOLI-74评定问卷评定生活质量(躯体功能、心理功能、社会功能、物质功能),同时调查患者并发症发生率、患者对治疗的依从性。结果:试验组抑郁水平得分为7.34±2.14分,焦虑水平得分为6.98±2.12分;对照组抑郁水平得分为14.65±4.11分,焦虑水平得分为12.67±2.67分,两组相同项目得分比较差异有统计学意义(P<0.05)。试验组躯体功能71.32±6.82分,心理功能73.37±10.48分,社会功能68.39±8.51分,物质功能69.02±7.39分;对照组躯体功能62.45±5.78分,心理功能62.89±8.47分,社会功能62.86±8.48分,物质功能64.12±6.51分,两组相同项目得分比较差异具有统计学意义(P<0.05)。试验组患者发现术后并发症4例(9.52%),高依从性38例(90.48%);对照组组患者发现术后并发症7例(16.67%),高依从性29例(69.05%),两组相同项目得分比较差异具有统计学意义(P<0.05)。结论:压力接种锻炼对住院骨折患者有减轻其负性情绪的影响,能舒缓患者压力,使患者有较为积极的心态面对治疗。
Abstract
[Abstract] Objective: To explore the effect of stress on the negative emotion of patients with fracture in hospital. Methods: 84 cases of hospitalized patients with fracture from January 2014 to July 2016 in our hospital were selected as the research object, according to the random number table method, the patients were divided into two groups, experimental group and control group of 42 cases. Two groups of patients were treated with conventional therapy, and received a healthy psychological counseling and education. In the experimental group on the basis of conventional treatment and education at the same time to accept the pressure of the exercise, a weekly time to choose a fixed time, each time for ninety minutes, eight weeks after the stop. In eight weeks after the two groups of patients were conducted a questionnaire survey with Hamilton Depression Scale and Hamilton Anxiety Scale HRSD HAMA score to evaluate the negative emotions of patients, with GQOLI-74 assessment of the quality of life questionnaire (assessment of physical function, psychological function, social function and material function), and investigate the incidence of complications, patient compliance to treatment. Results: The level of depression score was 7.34 + 2.14, the level of anxiety score was 6.98 + 2.12; control group, the level of depression score was 14.65 + 4.11, the level of anxiety score was 12.67 + 2.67, the two groups was statistically significant difference between the same score (P<0.05). Physical function test group 71.32 + 6.82, 73.37 + 10.48 points psychological function, social function of 68.39 + 8.51, 69.02 + 7.39 material function; control group physical function 62.45 + 5.78, 62.89 + 8.47 points psychological function, social function of 62.86 + 8.48, 64.12 + 6.51 material, the two was statistically significant the same project group score difference (P<0.05). In the test group found 4 cases of postoperative complications (9.52%), the high compliance of 38 cases (90.48%); the control group of patients with postoperative complications were found in 7 cases (16.67%), the high compliance of 29 cases (69.05%), the two groups have statistical significance difference between the scores of the same project (P<0.05). Conclusion: The pressure of the exercise on hospitalized patients with fracture reduce the impact of negative emotions, can relieve the pressure of patients, so that patients have a more positive attitude to face treatment.
关键词
【关键字】压力接种锻炼;骨折;负性情绪
KeyWord
[keyword] stress inoculation training; fracture; negative emotion
基金项目
页码 379-381
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方艳君,张雪,赵艳霞*,张炜. 压力接种锻炼对住院骨折患者负性情绪的影响 [J]. 国际精神病学杂志. 2017; 44; (2). 379 - 381.

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