Affiliated Hospital of Northwest Minzu University, Second Provincial People's Hospital of Gansu, Lanzhou, China.
Riv Psichiatr. 2022 Jan-Feb;57(1):33-39. doi: 10.1708/3749.37325.
To explore the psychological status of patients with amputation injury and to evaluate the effects of psychological interventions based on magnetic resonance imaging (MRI) and X-ray characteristics.
Two hundred patients admitted from June 2016 to May 2019 were randomly assigned into control and observation groups (n=100). Routine care was performed for both groups, based on which observation group was given psychological interventions. Coping style, compliance to examinations, mental stress, degree of perceived control, degree of anxiety, degree of depression, incidence rate of adverse events, and satisfaction with nursing services were compared.
After interventions, the score of positive coping, score of compliance to examinations and Control Attitudes Scale-Revised (CAS-R) score were significantly higher, whereas the score of negative coping, Chinese perceived stress scale (CPSS) score, self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score were lower in observation group than those in control group. The score of positive coping, score of compliance to examinations and CAS-R score were significantly elevated, while the score of negative coping, CPSS score, SAS score and SDS score reduced in both groups (p<0.05). The satisfaction rate was significantly higher in observation group than that in control group (p<0.05). The incidence rate of these adverse events was significantly lower in observation group than that in control group (p<0.05).
Psychological interventions before MRI and X-ray examinations are conducive to adjustment of the mental state of patients receiving replantation of a severed limb, thus improving the compliance to examinations, completion rate and image quality.
探讨截肢损伤患者的心理状态，并评估基于磁共振成像（MRI）和 X 射线特征的心理干预的效果。
将 2016 年 6 月至 2019 年 5 月收治的 200 例患者随机分为对照组和观察组（n=100）。两组均给予常规护理，观察组在此基础上给予心理干预。比较两组患者应对方式、检查依从性、心理应激、知觉控制程度、焦虑程度、抑郁程度、不良事件发生率及护理服务满意度。
干预后观察组积极应对评分、检查依从性评分及修正控制态度量表（CAS-R）评分均明显高于对照组，消极应对评分、中国知觉压力量表（CPSS）评分、焦虑自评量表（SAS）评分及抑郁自评量表（SDS）评分均明显低于对照组；两组上述评分均较干预前明显升高，且观察组升高更明显（p<0.05）。观察组满意度明显高于对照组（p<0.05），不良事件发生率明显低于对照组（p<0.05）。
MRI 和 X 射线检查前进行心理干预有利于调整断肢再植患者的精神状态，提高检查依从性、完成率和图像质量。
