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首页> 外文期刊>Journal of Clinical Medicine Research >Nurse-Led Psychological Intervention After Physical Traumas: A Randomized Controlled Trial
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Nurse-Led Psychological Intervention After Physical Traumas: A Randomized Controlled Trial

机译：身体创伤后由护士主导的心理干预：随机对照试验

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Background: Emergency room nurses were trained to provide a short-term psychological intervention in physically injured patients with Impact of Event Scale (IES) scores > 20. The aims were to study the effects of the psychological intervention relative to usual care (UC).Methods: In a randomized controlled trial, psychological distress, daily functioning and the personality traits optimism/pessimism were compared with patients who received the UC. The interventions were provided 1 - 3 months after discharge.Results: The IES scores were significantly reduced in both groups at 3 months (intervention: 41.1 - 28.6, P < 0.001 vs. UC: 35.4 - 26.2, P < 0.001), but not significantly different between groups. Baseline IES score was a significant predictor of IES scores at 3 (β = 0.4, P < 0.05) and 12 months (β = 0.3, P < 0.05), whereas overall daily functioning at 3 months predicted IES scores at 12 months (β = -0.5, P < 0.001). Patients receiving intervention became significantly more optimistic during the year, and had an increase in overall daily functioning from 3 to 12 months (P < 0.001). Patients declining intervention were more pessimistic and had lower daily functioning. Patients who talked with nurses with more training in psychological processing had a larger reduction in IES symptoms at 3 months (β = -0.3, P = 0.081).Conclusion: The nurse-led intervention had a significant effect on optimism and overall daily functioning. Nurses may become a low-cost option to perform short-term psychological interventions with physically injured hospitalized patients.J Clin Med Res. 2015;7(5):339-347doi: http://dx.doi.org/10.14740/jocmr2082w
机译：背景：急诊室护士接受过培训，可以为事件伤害量表（IES）得分> 20的身体受伤患者提供短期心理干预。目的是研究心理干预相对于常规护理（UC）的影响。方法：在一项随机对照试验中，比较了接受UC治疗的患者的心理困扰，日常功能和乐观/悲观人格特质。结果出院后1-3个月进行了干预。结果：两组的IES评分在3个月时均显着降低（干预：41.1-28.6，P <0.001，而UC：35.4-26.2，P <0.001），但没有群体之间存在显着差异。基线IES评分是3（β= 0.4，P <0.05）和12个月（β= 0.3，P <0.05）时IES评分的显着预测指标，而3个月的总体日常功能预测12个月时IES评分（β= -0.5，P <0.001）。在这一年中，接受干预的患者变得更加乐观，并且其日常整体功能从3个月增加到12个月（P <0.001）。拒绝干预的患者更加悲观，日常工作能力较低。与接受过心理处理培训的护士交谈的患者在3个月时IES症状的减轻程度更大（β= -0.3，P = 0.081）。结论：由护士主导的干预对乐观和整体日常功能具有显着影响。护士可能会成为对受伤的住院患者进行短期心理干预的一种低成本选择。《临床医学杂志》。 2015; 7（5）：339-347doi：http://dx.doi.org/10.14740/jocmr2082w

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