预防接种训练降低人工全髋关节翻修术患者焦虑水平的研究  

The Relief of Anxiety in Patients Undergoing Repaired THA by Way of Preventive Stress Inoculation Training

作　　者：屈波[1] 唐泓源[1] 张锦佳[1] 陈雪梅[1] 

机构地区：[1]中国人民解放军总医院骨科,北京100853

出　　处：《护理学报》2006年第12期49-50,共2页Journal of Nursing（China）

摘　　要：目的探讨预防接种训练对降低人工全髋关节嵌压植骨翻修术患者的焦虑水平的作用。方法将接受人工全髋关节翻修术患者94例随机分为观察组和对照组,对观察组实施预防接种训练。采用汉密尔顿焦虑量表(HAMA)对两组患者术前3d、术前1d和术后1d的焦虑状况进行评定。结果术前3 d两组患者HAMA评分差异无统计学意义(P>0.05);术前1d两组HAMA评分分别为(25.37±7.81)分和(10.78±5.03)分,经检验,P<0.01;术后1d两组HAMA评分分别为(19.09±2.46)分和(8.91±2.77)分,经检验,P<0.01。结论两组全髋关节翻修术患者术前HAMA得分均大于21分,提示存在明显焦虑;观察组采取预防接种训练进行心理干预后,在术前1d和术后1d,与对照组比较,HAMA得分显著降低,提示此种干预方法可缓解患者术前和术后的焦虑情绪,有利于患者的身心康复。Objective To explore the effect of preventive stress inoculation training on the anxiety relief in patients undergoing repaired THA. Methods 94 undergoing repaired THA by way of preventive stress inoculation training were evenly randomized into observation group and control group, the former receiving preventive stress inoculation training. The anxieties were assessed by HAMA at d 3 and 1 before operation and day 1 after operation. Results On day 3 before operation, there were no differences in HAMA between the two groups. On day 1 before operation, the scores between them were（25.37±7.81） and （10.78±5.03）（P〈0.01）. On the first day after operation, the scores by HAMA were （19.09±2.46） and （8.91±2.77）（P〈0.01）. Conclusion The HAMA scores in two groups before operation exceed 21, indicating the anxiety existed. In observation, preventive stress inoculation training, HAMA scores dropped compared to the control on the first day before and after operation, indicating that the interventional method may relieve the anxiety before and after surgery, which is good for the physical and mental restoration.

关 键 词：人工全髋关节翻修术 预防接种训练 HAMA 焦虑 心理护理 

分 类 号：R395.5[哲学宗教—心理学]