目的：分析轻型颅脑外伤患者的焦虑症状，并给予相应的心理干预措施，评价干预效果。方法选取2011年1月~2014年1月绍兴市中心医院收治的50例轻型颅脑外伤后焦虑患者，将其随机分为观察组及对照组，每组各25例，对照组仅采用常规护理，观察组在此基础上予以心理干预。护理干预前后采用汉密顿焦虑量表(HAMA)评价患者的焦虑状态，采用应对方式问卷评价患者的应对能力。结果护理干预后，两组患者严重焦虑率均较护理前明显下降(P<0.05)，但观察组的严重焦虑率(12%)明显低于对照组(32%)，差异有统计学意义(P<0.05)。观察组患者解决问题倾向性[(0.34±0.14)分]、求助倾向性[(0.33±0.02)分]、解决问题有效性[(0.46±0.04)分]、求助有效性[(6.24±2.41)分]均明显优于对照组[(0.68±0.04)、(0.55±0.03)、(0.86±0.06)、(7.12±1.24)分]，组间比较差异有统计学意义(P<0.05)。结论合适的心理干预可有效缓解轻型颅脑外伤患者的焦虑情绪，从而提高其应对能力，值得临床推广应用。%Objective To analyze mild traumatic brain injury patients' anxiety, and give corresponding psychological interventions, evaluate the efficacy of the intervention. Methods From January 2011 to January 2014, in Shaoxing Central Hospital, 50 patients with anxiety after mild traumatic brain injury were selected and randomly divided into ob-servation group and control group, with 25 cases in each group. Patients of the control group only received routine nursing care, and patients of the observation group received psychological intervention on the basis of the routine nurs-ing care. After nursing intervention, anxiety of patients in two groups were assessed by Hamilton anxiety scale (HAMA), coping capacity of patients were evaluated by the coping styles questionnaire. Results After nursing intervention, the severe anxiety rate of two groups were markedly reduced compared with before the intervention (P<0.05), and this of the observation group (12%) was lower than that of the control group (32%), the difference was statistically significant (P<0.05). The inclination of solving the problem, helping orientation and solving problem efficiency, helping effective-ness in observation group [(0.34±0.14), (0.33±0.02), (0.46±0.04), (6.24±2.41) scores] were significantly better than those of the control group [(0.68±0.04), (0.55±0.03), (0.86±0.06), (7.12±1.24) scores], the differences were statistically signifi-cant (P<0.05). Conclusion Proper psychological intervention can obviously relieve anxiety symptoms of mild traumatic brain injury patients, so as to improve the response capacity, which is worth of clinical promotion.
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