Relaxation Training On Psychological Nursing Timeliness Research In Acute Trauma Patients

Background:Trauma had become the main factor affecting the health of middle-aged and young.The first cause of death among young and middle-aged is trauma.In our country,variety of disease had been controlled effectively,but the incidence of trauma had increased year by year,and most people under the age of 45.With the development of medical,trauma patients get better treatment,but dysfunction after injury and psychological impact by trauma,had a serious damage on the patient’s physical and mental health.With the transformation of medical model,people pay more and more attention to mental health.Posttraumatic psychological problems are very common in patients with trauma,and anxiety,depression are most common among them.The psychological problems not only affect the treatment compliance of patients,also seriously affect the quality of life of patients.In clinical work,psychological nursing is an important part of nursing work,but also limited by many factors such as work task,different educational levels of nurses.These factors lead to the psychological nursing not timely,uncomprehensive,and less effective.Relaxation training is a kind of behavior therapy.It is a therapy by training consciously controlling their own mental physiological activities to reduce arousal level and improve the function of the body.It can solve tension,anxiety,depression and other emotional distress.This method is simple,practical and effective,less constraints,quickly improve symptoms.Trauma patients’ psychological status is different from other diseases.Many problems influence the patient’s psychological state,such as surgery,disability and rehabilitation.However,studies on intervene to the dynamic psychological status in trauma patients are not been reported home and abroad.In this study,we surveyed the situation of psychological problems in patients with acute trauma,analyzed their characteristics and influence factors.Based on the psychological features,the relaxation training is used in trauma patients.Compared the effect of different time,provided reliable basis for clinical nurses choose the best intervention time and method.Objective:1.To describe the incidence of mental health problems of acute trauma patients and its influencing factors.2.Identify the influence of relaxation training of the patients with acute trauma with the mental health problems.3.Identify the best opportunity of relaxation training to psychological intervention in patients with acute trauma.Methods:1.Rating scale measurement was performed for 120 acute trauma patients in department of emergency,southwest hospital,to understand the incidence of mental health problems in patients with trauma.Through the statistical methods,master the incidence of mental health problems of acute trauma patients and its influencing factors.2.120 acute trauma patients were randomly divided into 4 groups: group A: received relaxation training in the first day of hospitalization;Group B: received relaxation training in the forth day of hospitalization;Group C: received relaxation training in the seventh day of hospitalization;Group D: only received conventional psychological care.The relaxation training is once a days,30 minutes each time,6 times in total.The SCL-90 were measured before and after the experiment,to validate the effect of relaxation training,and compare the effect of different intervention time.Results:1.All the patients with acute trauma each factors and total score of SCL-90 were significantly higher than the national norm,in addition to paranoia and psychoticism(P < 0.01).2.The psychological problems in patients with acute trauma have showed the following characteristics: the score of 41 to 50 years old is higher than other age groups;the score of unemployed group is higher than other groups;patients with multiple trauma or severe trauma have higher score.3.Relaxation training has significantly effectiveness to improve the psychological status of patients with acute traumatic.After received relaxation training,the total score and each score of SCL – 90 were significantly decreased than before(P < 0.01).Compared with not receive the relaxation training group,SCL-90 total score significantly decreased(P < 0.05).4.Patients with acute trauma the earlier receive relaxation training,the better the effect.Group A which received relaxation training in the first day of hospitalization has the best effect than that of group B and group C(P < 0.05).Conclusion:1.Mental health problems are general among patients with acute trauma,and have its own characteristics.The nurses should focus on 41 to 50 years old,unemployed,multiple trauma and severe trauma patients,should give them timely psychological intervention,to reduce the posttraumatic psychological problems.2.Based on the standard of treatment and nursing,after relaxation training,psychological health problems were significantly reduced in patients with acute trauma,showing a good clinically practical significance.3.There have difference in intervention time for relaxation training alleviating mental health problems,the earlier intervention the better efficacy.