情志相胜法辨证护理干预对车祸骨折患者不良心理应激反应的临床疗效观察(1)
【摘要】 目的：探讨情志相胜法辨证护理干预在车祸骨折患者不良心理应激反应中的应用与效果。
方法：选取2013年5月-2015年4月本院收治的166例因车祸导致骨折的患者，其中2013年5月-2014年
4月收治的83例患者为对照组，实施常规护理，2014年5月-2015年4月收治的83例患者为试验组，实施情志相胜法辩证护理干预。患者车祸后1～2 d分别测定其SAS、SDS及MSRPOR评分作为原始数据，护理10 d后，比较护理前后两组SAS、SDS、MSRPOR评分和社会、躯体、心理功能及物质生活等生存质量评分以及患者满意度。结果：试验组情志护理干预后SAS、SDS、MSRPOR评分均低于对照组(P<0.001)，社会、躯体、心理功能及物质生活评分均高于对照组，患者满意度也高于对照组(P<0.05)。结论：情志相胜法辨证护理应用于预防车祸骨折患者不良心理应激反应，可改善患者的焦虑、抑郁、恐惧情绪，帮助患者恢复身体和心理健康，改善其物质生活质量，提高其社交水平，是预防车祸骨折患者不良心理应激反应的有效护理方法，值得广为应用。
【关键词】 中医情志护理； 骨折； 不良心理应激反应
【Abstract】 Objective：To study the intervention effect of TCM mental nursing in fracture patients caused by car accident.Method： A total of 166 patients with fracture caused by traffic accident were selected as research objects， 83 patients in May 2013 to April 2014 were selected as the control group and given routine nursing，the other 83 patients from May 2014 to April 2015 were selected as the experimental group and given TCM mental nursing.The SAS and SDS date in patients in 1 d or 2 d after the accident as raw data were measured，and consent all patients into two groups on the basis of patients’ informed.Their SAS score，SDS score，MSRPOR score and social，physical，psychological function and quality of life score before nursing and after 10-days’ nursing were compared.Result：After TCM mental nursing，the score of SAS，SDS，MSRPOR in the experimental group were lower than those of the control group (P<0.001)，while the social，physical，psychological function and material life score in the experimental group were higher than the control group，and the satisfaction of patients in the experimental group was higher than those in control group too(P<0.05).Conclusion：The emotional nursing of TCM is worthy to apply on adverse psychological stress reaction in fracture patients caused by car accident for it can release their anxiety，depression，fear，help them to restore physical and mental health，improve the quality of their life，improve their social level.
【Key words】 TCM mental nursing； Fraction； Adverse psychological stress reaction
First-author’s address：Traditional Chinese Medicine Hospital of Dongguan City，Dongguan 523000，China
doi：10.3969/j.issn.1674-4985.2016.14.029
目前对于车祸中骨折患者的治疗与护理多停留于躯体功能的恢复而忽略了患者的心理状态的干预。大量国内外研究表明，瞬间意外创伤后，大部分患者都会表现出各种心理问题，主要表现为紧张焦虑，悲观失落，烦躁不安，更有甚者反复出现创伤性体验，创伤性噩梦等，而这些不良心理如果长期没有得到疏导将会对躯体功能的恢复产生严重负面影响[1-5]。本文试从中医护理角度研究车祸骨折患者的不良心理调适，采用五行相克的情志相胜法对车祸骨折后具有不良心理应激反应的患者进行心理干预。中医上将人正常的精神状态分为喜、怒、忧、思、悲、恐、惊七种情志，当人体遭遇强烈的精神刺激时会气血紊乱，阴阳失调从而导致疾病产生。情志相胜护理法是基于七情致病特点及五行生克理论而制定的具有中医特色的护理措施，在重视恢复躯体功能的同时，利用各种情志的关系相互调节、制约，以克服不良情绪的心理疗法，最终使人的心态达到一种动态平衡，以帮助患者保持气血顺畅，阴阳协调[6-7]。本院经过大量患者的临床研究，现报道如下。, 百拇医药(赵景云 吴萍 卢璇)
方法：选取2013年5月-2015年4月本院收治的166例因车祸导致骨折的患者，其中2013年5月-2014年
4月收治的83例患者为对照组，实施常规护理，2014年5月-2015年4月收治的83例患者为试验组，实施情志相胜法辩证护理干预。患者车祸后1～2 d分别测定其SAS、SDS及MSRPOR评分作为原始数据，护理10 d后，比较护理前后两组SAS、SDS、MSRPOR评分和社会、躯体、心理功能及物质生活等生存质量评分以及患者满意度。结果：试验组情志护理干预后SAS、SDS、MSRPOR评分均低于对照组(P<0.001)，社会、躯体、心理功能及物质生活评分均高于对照组，患者满意度也高于对照组(P<0.05)。结论：情志相胜法辨证护理应用于预防车祸骨折患者不良心理应激反应，可改善患者的焦虑、抑郁、恐惧情绪，帮助患者恢复身体和心理健康，改善其物质生活质量，提高其社交水平，是预防车祸骨折患者不良心理应激反应的有效护理方法，值得广为应用。
【关键词】 中医情志护理； 骨折； 不良心理应激反应
【Abstract】 Objective：To study the intervention effect of TCM mental nursing in fracture patients caused by car accident.Method： A total of 166 patients with fracture caused by traffic accident were selected as research objects， 83 patients in May 2013 to April 2014 were selected as the control group and given routine nursing，the other 83 patients from May 2014 to April 2015 were selected as the experimental group and given TCM mental nursing.The SAS and SDS date in patients in 1 d or 2 d after the accident as raw data were measured，and consent all patients into two groups on the basis of patients’ informed.Their SAS score，SDS score，MSRPOR score and social，physical，psychological function and quality of life score before nursing and after 10-days’ nursing were compared.Result：After TCM mental nursing，the score of SAS，SDS，MSRPOR in the experimental group were lower than those of the control group (P<0.001)，while the social，physical，psychological function and material life score in the experimental group were higher than the control group，and the satisfaction of patients in the experimental group was higher than those in control group too(P<0.05).Conclusion：The emotional nursing of TCM is worthy to apply on adverse psychological stress reaction in fracture patients caused by car accident for it can release their anxiety，depression，fear，help them to restore physical and mental health，improve the quality of their life，improve their social level.
【Key words】 TCM mental nursing； Fraction； Adverse psychological stress reaction
First-author’s address：Traditional Chinese Medicine Hospital of Dongguan City，Dongguan 523000，China
doi：10.3969/j.issn.1674-4985.2016.14.029
目前对于车祸中骨折患者的治疗与护理多停留于躯体功能的恢复而忽略了患者的心理状态的干预。大量国内外研究表明，瞬间意外创伤后，大部分患者都会表现出各种心理问题，主要表现为紧张焦虑，悲观失落，烦躁不安，更有甚者反复出现创伤性体验，创伤性噩梦等，而这些不良心理如果长期没有得到疏导将会对躯体功能的恢复产生严重负面影响[1-5]。本文试从中医护理角度研究车祸骨折患者的不良心理调适，采用五行相克的情志相胜法对车祸骨折后具有不良心理应激反应的患者进行心理干预。中医上将人正常的精神状态分为喜、怒、忧、思、悲、恐、惊七种情志，当人体遭遇强烈的精神刺激时会气血紊乱，阴阳失调从而导致疾病产生。情志相胜护理法是基于七情致病特点及五行生克理论而制定的具有中医特色的护理措施，在重视恢复躯体功能的同时，利用各种情志的关系相互调节、制约，以克服不良情绪的心理疗法，最终使人的心态达到一种动态平衡，以帮助患者保持气血顺畅，阴阳协调[6-7]。本院经过大量患者的临床研究，现报道如下。, 百拇医药(赵景云 吴萍 卢璇)