Application of peer education and group psychological intervention in patients with spinal cord injury_West China Medical Journal

Authors：

YANG Jie ^1,2 , MA Rui ² , ZHANG Jianmei ² , QU Yun ² ,  NING Ning ³

1. West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Psychological intervention; Peer education; Spinal cord injury

DOI：

10.7507/1002-0179.201910127

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the application and effect of peer education combined with group psychological intervention in patients with spinal cord injury.Methods patients with spinal cord injury admitted to the Rehabilitation Medicine Center of West China Hospital, Sichuan University from April to June 2019 were selected. According to the random number table method, the patients were randomly divided into the control group and the experimental group. The patients in the control group received routine psychological nursing intervention; while those in the experimental group were given routine psychological nursing intervention, supplemented by peer education and group psychological intervention. Before and 1 month after the intervention, the self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), the Short Form-36 (SF-36), and the compliance of rehabilitation treatment were compared between the two groups.Result A total of 51 patients with spinal cord injury were admitted and 40 were eventually included, with 20 in each group. Before the intervention, there was no statistically significant difference between the two groups in SAS, SDS, SF-36 or rehabilitation treatment compliance (P>0.05). After the intervention, SAS [(28.60±3.30) points], SDS [(33.35±2.32) points], SF-36 [(86.60±4.56) points], and the rehabilitation treatment compliance [(83.28±5.07) %] in the experimental group were significantly improved compared with those in the control group [(34.75±6.17) points, (45.90±3.81) points, (80.90±5.19) points, (75.61±5.94) %; t=−3.932, −12.580, −3.694, 4.397, P<0.001]. After the intervention, SAS and SDS of the experimental group decreased compared with those before the intervention (P<0.05); while SF-36 and rehabilitation treatment compliance were higher than those before the intervention (P<0.05). Compared with those before the intervention, the SAS, SDS, SF-36 and rehabilitation treatment compliance of the control group after the intervention were not statistically significant (P>0.05).Conclusion Group psychological intervention combined with peer education can effectively promote the psychological rehabilitation of patients with spinal cord injury and improve the curative effect and patients' quality of life.

Citation： YANG Jie, MA Rui, ZHANG Jianmei, QU Yun, NING Ning. Application of peer education and group psychological intervention in patients with spinal cord injury. West China Medical Journal, 2020, 35(5): 589-593. doi: 10.7507/1002-0179.201910127 Copy

1.	解海霞, 王艳波. 脊髓损伤后患者成长历程的质性研究. 中国康复理论与实践, 2015, 21(12): 1451-1456.
2.	Williams R, Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil, 2015, 96(1): 133-140.
3.	Le J, Dorstyn D. Anxiety prevalence following spinal cord injury: a meta-analysis. Spinal Cord, 2016, 54(8): 570-578.
4.	黄宇, 张继荣, 郑栋华, 等. 心理干预对脊髓损伤患者抑郁及日常生活活动能力的影响. 中华物理医学与康复杂志, 2012, 34(7): 539-541.
5.	肖丁宜, 樊富珉, 杨芊, 等. 团体心理咨询与治疗师胜任特征初探. 心理科学, 2016, 39(1): 233-238.
6.	廖利民, 吴娟, 鞠彦合, 等. 脊髓损伤患者泌尿系管理与临床康复指南. 中国康复理论与实践, 2013, 19(4): 301-317.
7.	杨菊贤, 黄晓红. 心理障碍的诊断与鉴别诊断. 中国全科医学, 2002, 5(11): 859-860.
8.	Zung WWK. A self-rating depression scale. Arch Gener Psych, 1965, 12(1): 63-70.
9.	邓贤君, 李玲利, 侯晓玲, 等. 团体心理干预在恶性骨肿瘤患者中的应用. 华西医学, 2017, 32(11): 1770-1773.
10.	王山, 樊文洁, 俞婉琦, 等. SF-36 量表应用于城市化居民生命质量评价的信度和效度分析. 中华流行病学杂志, 2016, 37(3): 344-347.
11.	National Spinal Cord Injury Statistical Center. Spinal cord injury facts and figures at a glance. J Spinal Cord Med, 2010, 33(4): 439-440.
12.	Whiteneck GG, Gassaway J, Dijkers MP, et al. Inpatient and post-discharge rehabilitation services provided in the first year after spinal cord injury: findings from the SCIRehab study. Arch Phys Med Rehabil, 2011, 92(3): 361-368.
13.	Silver J, Ljungberg I, Libin A, et al. Barriers for individuals with spinal cord injury returning to the community: a preliminary classification. Disabil Health J, 2012, 5(3): 190-196.
14.	Nas K, Yazmalar L, Şah V, et al. Rehabilitation of spinal cord injuries. World J Orthop, 2015, 6(1): 8-16.
15.	韩静, 刘均娥. 团体心理干预在乳腺癌患者心理调适中的应用进展. 中华护理杂志, 2017, 52(5): 608-613.
16.	张慧, 朱丽丽. 团体心理辅导培训对临床护士共情能力的影响. 护理研究, 2016, 30(6B): 2166-2168.
17.	韦迪霞. 同伴教育在剖宫产产妇母乳喂养中的应用及效果观察. 重庆医学, 2017, 46(8): 1143-1145.
18.	巫丽琼, 陈咏莲, 董兴盛, 等. 团体心理辅导结合同伴教育在改善多胎妊娠选择性减胎术孕妇负情绪中的作用. 中国医学创新, 2019, 16(10): 88-92.
19.	张娃莲, 周卫娟, 郑姗姗. 同伴教育对糖尿病患者教育效果的探讨. 护士进修杂志, 2012, 27(1): 37-38.

1. 解海霞, 王艳波. 脊髓损伤后患者成长历程的质性研究. 中国康复理论与实践, 2015, 21(12): 1451-1456.
2. Williams R, Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil, 2015, 96(1): 133-140.
3. Le J, Dorstyn D. Anxiety prevalence following spinal cord injury: a meta-analysis. Spinal Cord, 2016, 54(8): 570-578.
4. 黄宇, 张继荣, 郑栋华, 等. 心理干预对脊髓损伤患者抑郁及日常生活活动能力的影响. 中华物理医学与康复杂志, 2012, 34(7): 539-541.
5. 肖丁宜, 樊富珉, 杨芊, 等. 团体心理咨询与治疗师胜任特征初探. 心理科学, 2016, 39(1): 233-238.
6. 廖利民, 吴娟, 鞠彦合, 等. 脊髓损伤患者泌尿系管理与临床康复指南. 中国康复理论与实践, 2013, 19(4): 301-317.
7. 杨菊贤, 黄晓红. 心理障碍的诊断与鉴别诊断. 中国全科医学, 2002, 5(11): 859-860.
8. Zung WWK. A self-rating depression scale. Arch Gener Psych, 1965, 12(1): 63-70.
9. 邓贤君, 李玲利, 侯晓玲, 等. 团体心理干预在恶性骨肿瘤患者中的应用. 华西医学, 2017, 32(11): 1770-1773.
10. 王山, 樊文洁, 俞婉琦, 等. SF-36 量表应用于城市化居民生命质量评价的信度和效度分析. 中华流行病学杂志, 2016, 37(3): 344-347.
11. National Spinal Cord Injury Statistical Center. Spinal cord injury facts and figures at a glance. J Spinal Cord Med, 2010, 33(4): 439-440.
12. Whiteneck GG, Gassaway J, Dijkers MP, et al. Inpatient and post-discharge rehabilitation services provided in the first year after spinal cord injury: findings from the SCIRehab study. Arch Phys Med Rehabil, 2011, 92(3): 361-368.
13. Silver J, Ljungberg I, Libin A, et al. Barriers for individuals with spinal cord injury returning to the community: a preliminary classification. Disabil Health J, 2012, 5(3): 190-196.
14. Nas K, Yazmalar L, Şah V, et al. Rehabilitation of spinal cord injuries. World J Orthop, 2015, 6(1): 8-16.
15. 韩静, 刘均娥. 团体心理干预在乳腺癌患者心理调适中的应用进展. 中华护理杂志, 2017, 52(5): 608-613.
16. 张慧, 朱丽丽. 团体心理辅导培训对临床护士共情能力的影响. 护理研究, 2016, 30(6B): 2166-2168.
17. 韦迪霞. 同伴教育在剖宫产产妇母乳喂养中的应用及效果观察. 重庆医学, 2017, 46(8): 1143-1145.
18. 巫丽琼, 陈咏莲, 董兴盛, 等. 团体心理辅导结合同伴教育在改善多胎妊娠选择性减胎术孕妇负情绪中的作用. 中国医学创新, 2019, 16(10): 88-92.
19. 张娃莲, 周卫娟, 郑姗姗. 同伴教育对糖尿病患者教育效果的探讨. 护士进修杂志, 2012, 27(1): 37-38.

West China Medical Journal

Application of peer education and group psychological intervention in patients with spinal cord injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content