心理干预对老年股骨颈骨折人工髋关节置换术患者的影响  

Influence of psychological intervention on aged patients with femoral neck fractures when cured by artificial hip replacement

作　　者：徐洋[1] 肖艳秋[1] 齐华[1] 李颖[1] 

机构地区：[1]哈尔滨医科大学附属第二医院,150086

出　　处：《中国实用护理杂志（下旬版）》2009年第9期51-52,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨对老年股骨颈骨折人工髋关节置换术患者实施心理干预的护理效果。方法将152例患者随机分为干预组84例和对照组68例。对照组按骨折常规护理，干预组在骨折常规护理的基础上，另外给予心理护理。评价2组患者的焦虑、疼痛程度，术后6个月评价2组患者的肢体功能。进行t检验和x^2检验。结果进行心理干预后，干预组患者手术前的焦虑评分、手术后的疼痛评分均显著低于对照组，干预组功能锻炼时间和离床活动时间比对照组显著缩短，干预组髋关节活动角度和肢体功能恢复率明显优于对照组。结论心理干预是促进老年股骨颈骨折人工髋关节置换术后康复的有效措施。Objective To know the effect of psychological nursing for aged patients with femoral neck fractures when cured by artificila hip replacement. Methods Divided 158 aged patients with femoral neck fractures into the intervention group （84 cases） and control group （68 eases） randomly. Routine nursing cares were used in the control group, while the psychological nursing intervention were used in the intervention group in addition. Compared the degree of postoperative pains and preoperative anxiety between the two groups, and then evaluated the function of limbs. Results The degree of postoperative pains and preoperative anxiety in the interventioni group was better than that of in control group respectively, the condition of limb function was better in the intervention group than in the control group. Conclusions Psychological intervention can promote rehabilitation for aged patients with femoral neck fractures when cured by artificila hip replacement, which can guarantee the satisfactory prognosis.

关 键 词：老年 股骨颈骨折 人工髋关节置换术 心理干预 

分 类 号：R687.4[医药卫生—骨科学] R683.420.5[医药卫生—外科学]