骨科住院患者抑郁症状评定和护理对策  

The evaluation and nursing of depression inpatients in the department of orthopaedics

作　　者：苏芙蓉[1] 卫建平[1] 

机构地区：[1]山西医科大学第二医院,030001

出　　处：《国际护理学杂志》2011年第3期321-323,共3页international journal of nursing

摘　　要：目的探讨山西医科大学骨科住院患者术前抑郁症的发生情况、影响因素及护理对策。方法调查对象为2010年3月-2010年5月于山西医科大学第二临床医院的骨科住院术前患者107例，排除住院期间意识不清醒、有精神病（史）患者，采用抑郁自评量表（SDS）评定患者抑郁状况。结果骨科住院患者抑郁症发生率为26．17％。单因素分析显示：性别、文化程度和疾病类型是抑郁症发生的影响因素；多因素分析显示：性别、疾病类型、治愈信心及担心拖累家庭是抑郁症发生的影响因素。结论骨科住院患者存在明显的抑郁心理，临床护理人员应根据引起抑郁的相关因素制定相应的护理对策。Objective To explore preoperative incidence, influencing factors of depression and nursing for the inpatients in the department of orthopedics. Methods A total of 107 cases in the department of orthopedics from March to May in 2010 were selected, the patients with unconsciousness and mental illness were ruled out, self- rating depression Scale （SDS） was used to assess the state of patients with depression. Results The incidence of depression was 26. 17%, univariate analysis showed ： gender, education level and disease type were the risk factors of depression, multivariate analysis showed： gender, disease type, cure confidence and the worry of dragging the family were the risk factors of depressiotL Conclusions The inpatients in the department of orthopaedics has the depression psychology obviously. Nursing staffs should take the corresponding nursing strategy according to the factors of depression occurrence.

关 键 词：抑郁症 评定 护理对策 

分 类 号：R473.6[医药卫生—护理学]