放松训练对急性创伤患者心理健康的影响

刘薇; 周小萍; 邵艳霞; 孙航; 孙溦

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放松训练对急性创伤患者心理健康的影响

论著 | 更新时间：2026-01-09

- 放松训练对急性创伤患者心理健康的影响
- Relaxation training improves mental health in acute trauma patients
- 陆军军医大学学报 2015年37卷第21期页码：2169-2173
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  中图分类号： R395.6;R493;R641
- 纸质出版：2015
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刘薇,周小萍,邵艳霞,孙航,孙溦.放松训练对急性创伤患者心理健康的影响[J].陆军军医大学学报(原第三军医大学学报),2015,37(21):2169-2173.

　Liu Wei,Zhou Xiaoping,Shao Yanxia,Sun Hang,Sun Wei.Relaxation training improves mental health in acute trauma patients[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(21):2169-2173.
刘薇,周小萍,邵艳霞,孙航,孙溦.放松训练对急性创伤患者心理健康的影响[J].陆军军医大学学报(原第三军医大学学报),2015,37(21):2169-2173. DOI：

　Liu Wei,Zhou Xiaoping,Shao Yanxia,Sun Hang,Sun Wei.Relaxation training improves mental health in acute trauma patients[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(21):2169-2173. DOI：

摘要

目的观察放松训练对急性创伤患者心理健康状况的疗效，确定最佳干预介入时间。 方法 选择我科2014年11月至2015年2月因急性创伤入院治疗的患者120例，按照入院先后顺序依次分为4组：除常规护理外，入院第1天开始接受放松训练（A组）；除常规护理外，入院第4天开始接受放松训练（B组）；除常规护理外，入院第7天开始接受放松训练（C组）；仅接受常规护理，未接受放松训练（D组）。分别于训练前和训练后对患者进行SCL-90评价，观察放松训练对改善急性创伤患者心理健康问题的效果，比较不同介入时间放松训练的效果差异。结果急性创伤患者的SCL-90评分显著高于全国常模（P0.05）；训练前，4组急性创伤患者基线资料差异无统计学意义（P0.05）；放松训练干预后，患者SCL-90评分较训练前显著降低（P0.01），接受放松训练组较未接受放松训练组SCL-90评分显著降低（P0.05），其中总分、焦虑和其他，A组显著低于B组和C组（P0.05）；接受放松训练后颅脑损伤、胸腹损伤和四肢损伤组SCL-90评分明显低于多发伤组（P0.05），ISS评分≤16组SCL-90评分明显低于ISS评分＞16组（P0.05）。结论放松训练可有效地改善急性创伤患者的心理健康状况，且放松训练介入时间越早效果越好；放松训练对于伤情较轻、受伤部位单一的创伤患者的效果优于伤情较重、多部位受伤的患者。

Abstract

Objective To determine the efficacy and the best intervention time of relaxation training on mental health status of patients with acute trauma. Methods A total of 120 patients admitted in our department due to acute trauma from November 2014 to February 2015 were recruited in this study. They were divided into 4 groups according to time series of hospitalization

that is

group A (received conventional care and relaxation training from the first day of hospitalization)

group B (received conventional care and relaxation training from the fourth day of hospitalization)

group C (received conventional care and relaxation training from the seventh day of hospitalization)

and group D (only received conventional psychological care but no relaxation training). Symptom Checklist-90 (SCL-90) scale was used to evaluate their mental health status before and after training and the efficacy of relaxation training given at different intervention times. Results The SCL-90 scores in the cohort were significantly higher than that in the national norm. There was no significant differences in baseline data among the 4 groups of acute trauma patients before training (P0.05). The SCL-90 scores were significantly decreased in the 4 groups (P0.05)

and the decreases were more significant the groups A

B and C who received relaxation training (P0.01). The total score and anxiety and other scores were significantly lower in group A than group B and group C (P0.05).After relaxation training

the SCL-90 scores were significantly lower in patients with brain injury

thoracic injury and limb injury than those of multiple injuries (P0.05)

and in patients with injury severity score (ISS)≤16 than those with ISS score 16 (P0.05). Conclusion Relaxation training effectively improves the mental health status in the patients with acute trauma

and the intervention the sooner

the efficacy the better. The training is more beneficial to the patients with mild and single injury than those with severe and multiple injuries.

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