目的  探讨强化心理护理对外伤性脑出血患者疾病应对方式的影响。 方法  将84例入选患者随机分成试验组和对照组。试验组在常规治疗和护理基础上给予强化心理护理；对照组仅给予常规治疗和护理。比较两组术后1周和术后3个月疾病应对方式的差别。 结果  ①术后3个月，试验组寻求支持、情感宣泄、保守、听天由命、逃避和自我依赖等应对方式较术后1周显著改善，差异有统计学意义（P<0.05）；②术后3个月对照组听天由命、逃避和自我依赖应对方式较术后1周显著改善，差异有统计学意义（P<0.05）；③术后3个月，试验组寻求支持、情感宣泄、保守、听天由命、逃避和自我依赖等应对方式较对照组同时点显著改善，差异有统计学意义（P<0.05）。 结论  强化心理护理可改善外伤性脑出血患者疾病应对方式。

 Objective  To evaluate the effect of intensive psychological nursing on the coping modes of patients with traumatic cerebral hemorrhage. Methods  Eighty-four patients with traumatic cerebral hemorrhage were randomly divided into two groups. The patients in the experimental group received routine care and intensive psychological nursing，and the patients in the control group received routine care. All patients were investigated by Medical Coping Modes Questionnaire at one week and three months after surgery. Results  At three months after surgery，the factor scores of coping modes in supportant，emotive，palliative，fatalistic，evasive and self-reliant decreased significantly in the experimental group（P<0.05）； the factor scores in fatalistic and evasive decreased significantly in the control group（P<0.05）； the factor scores in supportant，emotive，palliative，fatalistic，evasive and self-reliant in the experimental group were significantly lower than those of the control group（P<0.05）. Conclusion  Intensive psychological nursing can improve the coping modes of patients with traumatic cerebral hemorrhage.