Application Of Cognitive Behavioral Intervention In Posttraumatic Growth Of Patients With Hand Injures

Objectives1.Apply post-traumatic growth theory to assess the patient’s early psychological state by assessing the patient’s early psychological state.2.the victim’s traumatic patient’s cognitive behavioral intervention,improve the patient’s cognitive processing level,and then Promote the growth of patients after trauma to achieve a better physical and mental state.3.based on positive psychology,to promote the traumatic positive psychological changes in patients with hand trauma with a new perspective,to provide a basis for promoting post-traumatic growth,and Family and society reduce the burden.MethodsA convenient sampling method was used to select 60 patients with hand function loss of more than 50% after hand surgery in the Second Affiliated Hospital of Inner Mongolia Medical University.The study was performed by single and double grouping of the operation date,and the single day was the control group.The two-day intervention group consisted of 30 patients each.The control group received routine nursing;the intervention group gave cognitive behavioral intervention on the basis of routine nursing,including one-on-one interviews before the intervention,to understand the basic psychological state and the cognitive status of the opponent’s trauma,to explain the principle of confidentiality,and to introduce cognitive behavior.The meaning,content,time and frequency of the intervention,understanding the expected effect of the patient,and analyzing the interview content.Cognitive interventions include interviews,understanding the inner thoughts of patients and pointing out their negative thinking and misperceptions,guiding patients to re-evaluate their own thinking and cognition;behavioral interventions include relaxation training and hand function exercises to promote the recovery of patient hand function,while Achieve changes in the patient’s cognitive behavior and ultimately promote post-traumatic growth.Informed consent form was completed before the intervention,and the general information questionnaire was obtained after the patient’s consent.The early psychological reaction was used to assess the patient’s psychological state.The convincing contemplative questionnaire was used to measure the cognitive processing level of the patient;the intervention was 2 weeks and 6 weeks respectively.The posttraumatic growth level and cognitive processing level were evaluated using the posttraumatic growth scale and the rumor contemplative questionnaire.The SPSS25.0 software statistical package was used.All data were compiled and double-entered,including general data statistical description,chi-square test for baseline data comparison,early psychological response his assessment scale,C-ERRI score,CPTGI score with independent sample t test.Correlation was used to analyze the correlation between post-traumatic growth level and ruminative contemplation.Results1.Comparison of general information and baseline between the two groups of patients1.1The selected subjects of this study were 60 patients with hand surgery in the Second Affiliated Hospital of Inner Mongolia Medical University.The hand trauma was accompanied by fracture,tendon,nerve,skin and soft tissue injury.The hand function damage was more than 50%.3~7operations,hospitalization time is 6-8 weeks;age 41.38±9.87,minimum 25 years old,maximum 55 years old;44 males and 16 females;49 married,11 unmarried;subjective severity is biased Severe,the education level is above primary school,61.7% in junior high school and high school,23.3% in college education or above;38.3% in farmers,35.0% in workers,26.7% in staff and other occupations;medical expenses are paid by units,public medical care,individuals Insurance and new rural cooperative medical care accounted for 31.7%,15.0%,13.3%,and 13.3%,respectively.1.2the classified data in the general baseline data of the two groups were analyzed by 2 test and independent sample t test,and the difference was not statistically significant(P>0.05).2.Early psychological response rating scale(table 2)2.1the scores of patients in the control group and the intervention group in the early unexpected psychological response rating scale were in line with the normal distribution and the variance was homogenous.The two independent samples were compared by t test,and there was no difference in the early psychological response rating scale between the two groups(P>0.05).3.C-ERRI(table 3-1,3-2,3-3)3.1the total score of C-ERRI and the scores of each dimension of the patients in the control group and the intervention group were compared by repeated measurement anova.There was a statistically significant difference between the main effect of time and the main effect of intervention in the goal rumination score(P<0.05),and the interaction was shown in figure 3-1.There was no significant difference in invasive rumination(P>0.05).4.Simplified Chinese version of post-traumatic growth scale score(C-PTGI)(table 4-1,4-2)4.1after 2 weeks of intervention,the C-PTGI score and the scores of each dimension in the control group and the intervention group were compared by independent sample t test,and the differences were statistically significant(P>0.05).4.2after 6 weeks of intervention,the differences in C-PTGI scores and scores of each dimension between the intervention group and the control group were statistically significant by independent sample t test(P<0.05).The post-traumatic growth score of the intervention group was higher than that of the control group.5.After 6 weeks of intervention,C-PTGI score and life perception were positively correlated with C-ERRI score and purposive rumination score.(table 5).Conclusions1.The early psychological reaction of hand trauma patients showed negative emotions such as anxiety and depression,with a low score of withdrawal reaction.Most of the men were silent,while the women would cry to vent their emotions.In the early stage,most of the patients controlled their feelings and did not think about the whole event.2.Cognitive behavioral intervention can improve the cognitive processing level and purposeful rumination of patients with hand trauma,and significantly promote posttraumatic growth of patients with hand trauma.3.After 6 weeks of intervention,c-ptgi score and life perception were positively correlated with c-erri score and purposive rumination score.