积极心理干预对青年脑卒中患者创伤后成长及主观幸福感的影响

程珍珍; 周建梅; 史文莉

doi:10.3760/cma.j.cn115682-20200426-03020

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中华现代护理杂志

• 临床研究 •

ENGLISH ABSTRACT

积极心理干预对青年脑卒中患者创伤后成长及主观幸福感的影响

作者及单位信息

出版日期： 2021 -01 -26 ·

DOI： 10.3760/cma.j.cn115682-20200426-03020

Effect of positive psychological intervention on post-traumatic growth and subjective well-being of young stroke patients

Authors Info & Affiliations

Cheng Zhenzhen

Department of Neurology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China

Zhou Jianmei

Department of Neurology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China

Shi Wenli

Second Department of Neurology/Department of Acupuncture and Massage, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China

Published： 2021 -01 -26 ·

DOI： 10.3760/cma.j.cn115682-20200426-03020

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摘要

目的探讨积极心理干预方法在青年脑卒中患者中的应用，验证其对患者创伤后成长及主观幸福感的影响。

方法采用便利抽样法，选择2018年10月—2020年2月在某三级甲等医院神经内科住院的114例青年脑卒中患者为研究对象，按照随机数字表法将其分为对照组（57例）和试验组（57例）。对照组实施常规心理护理，试验组在对照的基础上实施积极心理干预。采用创伤后成长量表（PTGI）和总体幸福感量表（GWB）对两组患者进行评估。

结果干预后试验组患者的PTGI总得分、GWB总分及各维度得分高于对照组，差异均有统计学意义（ P<0.05）。

结论积极心理干预可提高青年脑卒中患者创伤后成长及主观幸福感。

关键词：卒中;青年;积极心理干预;创伤后成长;主观幸福感

ABSTRACT

ObjectiveTo explore the application of positive psychological intervention methods in young stroke patients and verify the effect on post-traumatic growth and subjective well-being of patients.

MethodsUsing the convenient sampling method, a total of 114 young stroke patients who were hospitalized in Department of Neurology in a ClassⅢ Grade A hospital from October 2018 to February 2020 were selected as the research objects. According to the random number table method, they were divided into the control group (57 cases) and the experimental group (57 cases) . The control group implemented routine psychological nursing, while the experimental group implemented active psychological intervention on the basis of the control group. Posttraumatic Growth Inventory (PTGI) and General Well-Being Schedule (GWB) were used to evaluate patients the two groups.

ResultsAfter intervention, the total score of PTGI, the total score of GWB and scores of all dimensions of the experimental group were higher than those of the control group, and the differences were statistically significant ( P<0.05) .

ConclusionsPositive psychological intervention can improve post-traumatic growth and subjective well-being of young stroke patients.

KEYWORDS： Stroke;Youth;Positive psychological intervention;Post-traumatic growth;Subjective well-being

Corresponding author: Shi Wenli, Email: mocdef.qabq9221591651

FUNDING:

Natural Science Foundation Program of Xinjiang Uygur Autonomous Region（2018D01C210）

COPYRIGHTS:

No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission.

All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

引用本文

程珍珍,周建梅,史文莉. 积极心理干预对青年脑卒中患者创伤后成长及主观幸福感的影响[J]. 中华现代护理杂志,2021,27(03)：374-378.

DOI:10.3760/cma.j.cn115682-20200426-03020

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未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

脑卒中是一种突发性脑血循环障碍，具有病死率高、致残率高的特点，其对患者身心产生严重的负面影响 ^{[
1
,

2
]}。目前，随着国民经济的发展和人民生活水平的不断提高以及青年群体生活方式的改变，青年人群脑血管相关危险因素大大增加。青年人是国家的重要中坚力量，承担着重要的社会责任和家庭负担，患病后不仅影响其工作发展和自身的生活质量，而且给患者自身带来负面情绪 ^{[
3
]}。近年来，青年脑卒中患者的负性心理问题逐渐引起了社会的关注 ^{[
4
,

5
,

6
,

7
]}。相关研究结果表明，青年脑卒中患者的负性心理问题越来越多，其较中老年脑卒中患者更易产生焦虑和抑郁情绪 ^{[
8
]}，在出院后回到家庭和社区后，面临自我形象紊乱、自理能力缺乏、医疗卫生机构定期进行康复锻炼等，这将对其创伤后的成长产生一定影响 ^{[
9
]}。积极心理干预不仅关注疾病、困扰和障碍，同时关注希望、乐观、潜能等人类优势资源，是以积极心理学理论为基础的一种心理干预方法，旨在探索患者内在或潜在的积极品质和积极力量 ^{[
10
,

11
,

12
,

13
]}，能够激发患者人格中的美好事物，帮助患者产生生活幸福感，减轻焦虑和抑郁情绪，同时也能使患者更好地接受医生的治疗，健康的生活方式能明显促进疾病的康复。因此，本研究旨在探讨积极心理干预对青年脑卒中患者创伤后成长及主观幸福感的作用，为青年脑卒中患者提供心理支持。

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摘要
参考文献

参考文献

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王陇德. 中国脑卒中防治报告[M]. 北京：中国协和医科大学出版社， 2015.

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Lozano R , Naghavi M , Foreman K ，et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010：a systematic analysis for the global burden of disease study 2010[J]. Lancet， 2013，380(9859):2095-2128. DOI: 10.1016/S0140-6736(12)61728-0 .