信息支持对老年髋部骨折患者术前焦虑的影响  

Effect of information support on preoperative anxiety in old patients with fracture of hip

作　　者：龚春兰[1] 文国英[1] 刘宇军[1] 谢丽霞[1] 方冠毅[1] 石小勇[1] 黄建莲[1] 

机构地区：[1]广西壮族自治区南溪山医院骨科,桂林541002

出　　处：《中华现代护理杂志》2010年第15期1763-1766,共4页Chinese Journal of Modern Nursing

基　　金：广西壮族自治区卫生厅立项课题（合同号Z2008229）

摘　　要：目的探讨信息支持对老年髋部骨折患者术前焦虑的影响。方法采用随机数字表法对入选的髋部骨折手术患者分为观察组（n=31）和对照组（n=30）；两组均给予常规的术前宣教，观察组增加根据疾病的不确定感理论4个方面制定的信息支持内容；观察两组患者干预前和干预后的焦虑值（STAI）、心率（HR）、收缩压（SBP）及舒张压（DBP），并分别进行比较。结果观察组干预前后STAI、HR、SBP、DBP分另Ⅱ为（50．2±3．4）VS（38．5±3．0）分、（91．1±7．9）VS（75．3±8．2）次／min、（149．2±18．7）VS（126．9±12．8）mmHg、（85．3±9．6）VS（73．7±7．1）mmHg，干预前后差异均有统计学意义（P〈0．01）；干预前观察组与对照组AV、HR、SBP及DBP比较均无统计学意义（P〉0．05）；干预后观察组AV、HR、SBP及DBP均低于对照组（P〈0．01，P〈0．05）。结论以疾病的不确定感理论为依据制订信息支持内容降低老年髋部骨折患者术前焦虑的效果优于常规方法。Objective To explore the effect of information support on preoperative anxiety in old patients with fracture of hip. Methods The patients with fracture of hip were randomly divided into observation group （ n = 31 ） and control group （ n = 30）. Two groups all received routine preoperative health education. But the patients in observation group received supernumerary information needs based on the theories of illness uncertainty. Anxiety value （AV）, heart rate （HR）, systolic blood pressure （SBP）and diastolic blood pressure （DBP） in two groups were compared both before and after intervention. Results AV, HR, SBP and DBP before and after intervention in observation group were respectively （ 50.2 ± 3.4 ） vs （ 38.5 ± 3.0 ） , （ 91.1 ± 7.9） vs （75.3 ±8.2）bpm, （149.2±18.7） vs （126.9 ±12.8）ram Hg and （85.3 ±9.6） vs （73.7 ±7.1） mm Hg （P 〈0. 001 ）. AV, HR, SBP and DBP before and after intervention in control group were respectively （50.8±3.3） vs （46.9±2.5）, （90.53=9.4） vs （85.4±11.7）bpm, （141.6±14.6） vs （135.9±13.3） mmHg, （81.8±9.3） vs （78.8±9.3）mmHg （P〈0. 001,P〈0. 01,P 〈0. 05）. AV, HR, SBPand DBP before intervention in two groups were not statistically significant （ P 〉 0. 05 ） and AV, HR, SBP and DBP after intervention in observation group was lower than that of control group （ P 〈 0. 01, P 〈 0.05 ）. Conclusions Info- rmation support based on the theory of illness uncertainty can reduce preoperative anxiety in old patients with fracture of hip and the result is better than that of routine method.

关 键 词：信息支持 疾病不确定感 髋部骨折 焦虑 

分 类 号：R473.6[医药卫生—护理学]