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

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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

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3.	Le J, Dorstyn D. Anxiety prevalence following spinal cord injury: a meta-analysis. Spinal Cord, 2016, 54(8): 570-578.
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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, ?ah V, et al. Rehabilitation of spinal cord injuries. World J Orthop, 2015, 6(1): 8-16.
15.	韓靜, 劉均娥. 團體心理干預在乳腺癌患者心理調適中的應用進展. 中華護理雜志, 2017, 52(5): 608-613.
16.	張慧, 朱麗麗. 團體心理輔導培訓對臨床護士共情能力的影響. 護理研究, 2016, 30(6B): 2166-2168.
17.	韋迪霞. 同伴教育在剖宮產產婦母乳喂養中的應用及效果觀察. 重慶醫學, 2017, 46(8): 1143-1145.
18.	巫麗瓊, 陳詠蓮, 董興盛, 等. 團體心理輔導結合同伴教育在改善多胎妊娠選擇性減胎術孕婦負情緒中的作用. 中國醫學創新, 2019, 16(10): 88-92.
19.	張娃蓮, 周衛娟, 鄭姍姍. 同伴教育對糖尿病患者教育效果的探討. 護士進修雜志, 2012, 27(1): 37-38.

1. 解海霞, 王艷波. 脊髓損傷后患者成長歷程的質性研究. 中國康復理論與實踐, 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. 黃宇, 張繼榮, 鄭棟華, 等. 心理干預對脊髓損傷患者抑郁及日常生活活動能力的影響. 中華物理醫學與康復雜志, 2012, 34(7): 539-541.
5. 肖丁宜, 樊富珉, 楊芊, 等. 團體心理咨詢與治療師勝任特征初探. 心理科學, 2016, 39(1): 233-238.
6. 廖利民, 吳娟, 鞠彥合, 等. 脊髓損傷患者泌尿系管理與臨床康復指南. 中國康復理論與實踐, 2013, 19(4): 301-317.
7. 楊菊賢, 黃曉紅. 心理障礙的診斷與鑒別診斷. 中國全科醫學, 2002, 5(11): 859-860.
8. Zung WWK. A self-rating depression scale. Arch Gener Psych, 1965, 12(1): 63-70.
9. 鄧賢君, 李玲利, 侯曉玲, 等. 團體心理干預在惡性骨腫瘤患者中的應用. 華西醫學, 2017, 32(11): 1770-1773.
10. 王山, 樊文潔, 俞婉琦, 等. SF-36 量表應用于城市化居民生命質量評價的信度和效度分析. 中華流行病學雜志, 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, ?ah V, et al. Rehabilitation of spinal cord injuries. World J Orthop, 2015, 6(1): 8-16.
15. 韓靜, 劉均娥. 團體心理干預在乳腺癌患者心理調適中的應用進展. 中華護理雜志, 2017, 52(5): 608-613.
16. 張慧, 朱麗麗. 團體心理輔導培訓對臨床護士共情能力的影響. 護理研究, 2016, 30(6B): 2166-2168.
17. 韋迪霞. 同伴教育在剖宮產產婦母乳喂養中的應用及效果觀察. 重慶醫學, 2017, 46(8): 1143-1145.
18. 巫麗瓊, 陳詠蓮, 董興盛, 等. 團體心理輔導結合同伴教育在改善多胎妊娠選擇性減胎術孕婦負情緒中的作用. 中國醫學創新, 2019, 16(10): 88-92.
19. 張娃蓮, 周衛娟, 鄭姍姍. 同伴教育對糖尿病患者教育效果的探討. 護士進修雜志, 2012, 27(1): 37-38.

West China Medical Journal

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

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