The Study Of Psychological Problem And Nursing Strategy Of Hospitalized Traumatic Patients

Objective:In order to provide a objective, measurable and simple assessment tool, the study tries to manufacture multidimensional questionnaires. In addition, it discusses the characteristics of the hospitalized traumatic patients, then come up with countermeasures to provide theoretical and practical basis of the implementation of scientific and effective psychological care for the clinical nurses.Methods : With integrated document analysis, open questionnaire survey and consultation interviews, we made some questionnaire items and implement the pre-text to 445 traumatic inpatients in five general hospital. By item analysis, exploratory factor analysis, confirmatory factor analysis and reliability and validity testing, We made the formal "psychological problems of hospitalized traumatic patients questionnaire." And apply them to 382 trauma inpatients to investigate and explore different injured regions, different injury severity, different days of hospitalization during the traumatic psychological problems such as characteristics. Based on the findings, propose appropriate psychological care measures.Results: 1 Defined "psychological problems of hospitalized traumatic patients questionnaire" anxiety, depression, broke into evasive, irritability and worry 5 dimensions and 23 items, coefficient of internal consistency among the five factors were respectively 0.76,0.83,0.72,0.71,0.70,while the total score is 0.88. Both of Spearman-Brown inequality length split-half reliability coefficient, Guttman split-half reliability coefficient are 0.82 ,reach to the standard of 0.80. Coefficients of correlation among factors are during 0.227-0.551,lower than that between factors and tota(l0.435-0.765). Scores of anxiety and depression obtained by Questionnaires and HAD are significantly positive correlation, the coefficient is 0.226-0.369. 2 Significant difference occurs in those situations as follows: scores of anxiety, depression and irritability and the total in patients differed in injured regions; of worries in injured severity; of anxiety, depression and the total in level of education; of anxiety and the total in age; of depression and irritability in days of hospitalization; of depression in sources of medical expenses; of the scores and the total in occupation;of worries , irritability and the total in cognition of injured responsibility. No significant difference are found in scores of worries in marriage. There's no significant difference coming from gender difference. 3 Put the nursing strategy of hospitalized traumatic patients'psychological problems initially: According to nursing process to carry out psychological nursing; grasp the rule of hospitalized traumatic patients'psychological problems and use the effective method of psychological nursing.Conclusion:1 The questionnaire's reliability and validity are preferable to assess as a objective, reasonable and simple tool. 2 The influencing factors related to patients'psychological problems were injured regions, injury severity, days of hospitalization, age, marriage, occupation, level of education, sources of medical expenses and cognition of injured responsibility. 3 According to the rule of hospitalized traumatic patients'psychological problems of different injured regions, injured severity, days of hospitalization to apply the supportive psychotherapy, cognitive behavior therapy, relaxation training, music therapy. Accordance with the nursing process to carry out psychological nursing to hospitalized traumatic patients.