Feasibility analysis of improving social support of mild craniocerebral trauma patients to improve their quality of life
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摘要: 目的 探讨提高轻度颅脑外伤患者社会支持对改善其生活质量的影响作用,为脑外伤的治疗提供依据。 方法 选取温州医科大学附属第二医院2017年9月—2018年9月间收治的轻度颅脑外伤患者76例作为研究对象,根据社会支持评定量表(social support rate scale,SSRS)得分分为高分组(40例)和低分组(36例),收集患者临床资料,经过整理分析,观察提高社会支持对改善患者生活质量的影响。 结果 高分组患者主观支持分、客观支持分、支持利用度分和SSRS总分均明显高于低分组,组间比较差异有统计学意义(均P<0.05);高分组患者完全按时复诊、不完全按时复诊率均明显高于低分组,完全不遵医嘱率明显低于低分组,组间比较差异有统计学意义(均P<0.05);高分组患者物质生活、躯体功能、心理功能、社会功能以及GQOLI-74总评分均明显高于对照组,组间比较差异有统计学意义(均P<0.05)。 结论 提高轻度颅脑损伤患者的社会支持可以在很大程度上提高遵医嘱行为和生活质量,对于患者的疾病治疗和康复具有明显的促进作用,效果较为显著,临床可以通过类似干预提高治疗效果,可进一步推广使用。Abstract: Objective To investigate the effect of social support on improving the quality of life of patients with mild head injury and provide a basis for the treatment of traumatic brain injury. Methods Seventy-six patients with mild craniocerebral trauma admitted to the Second Affiliated Hospital of Wenzhou Medical University from September 2017 to September 2018 were selected as subjects, according to the social support rate scale(SSRS) and self-made. The questionnaire was divided into 40 groups in the high group and 36 cases in the low group. The clinical data of the patients were collected and analyzed to improve the impact of social support on improving the quality of life of patients. Results The subjective support score, objective support score, support utilization score and SSRS total score of the high-group patients were significantly higher than the low-group corresponding scores. The difference between the groups was statistically significant(all P<0.05). The high-group patients were completely reviewed on time. The rate of incomplete follow-up was significantly higher than that of the low-group corresponding indicators. The rate of complete non-compliance was significantly lower than that of the low group. The difference between the groups was statistically significant(all P<0.05). The material life, physical function and psychological function of patients with high grouping were statistically significant. The social function and GQOLI-74 total score were significantly higher than those of the control group, and the difference between the groups was statistically significant(all P<0.05). Conclusion The social support for patients with mild craniocerebral injury can greatly improve the behavior of following the doctor's advice and quality of life. It has obvious promotion effect on the treatment and rehabilitation of patients, and the effect is more significant. The clinical effect can be improved by similar intervention. It can be further promoted and used clinically.
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Key words:
- Craniocerebral trauma /
- Social support /
- Quality of life /
- Feasibility
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