护理干预对全髋关节置换术患者术前焦虑的影响  

Study on the effect of nursing intervention on anxiety of patients before selective total hip arthroplasty

作　　者：张先棠[1] 石秀峰[1] 刘学军[1] 

机构地区：[1]蚌埠医学院第二附属医院骨科,安徽蚌埠233040

出　　处：《蚌埠医学院学报》2011年第9期1011-1013,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨全髋关节置换术患者手术前的焦虑状态及护理对策。方法:对全髋关节置换术患者75例进行术前调查,随机分为观察组40例和对照组35例。观察组在常规护理基础上进行深层次的全髋关节置换术外科手术过程及麻醉相关知识宣教,术前告之患者有可能出现的并发症以及如何预防等;对照组进行常规的手术前护理。通过焦虑程度测量,比较2组干预前、后焦虑的发生率和术后满意率。结果:干预前2组重度焦虑发生率观察组47.5%,对照组42.9%,差异无统计学意义(P>0.05)。护理干预后2组重度焦虑发生率分别为观察组17.5%,对照组45.7%,差异有统计学意义(P<0.01)。结论:全髋关节置换术患者术前焦虑发生率较高,在常规护理基础上进行深层次的护理干预,可以减少焦虑的发生率和减轻焦虑的程度,有利于手术治疗的顺利进行。Objective：To explore the anxiety and nursing strategy of patients before total hip arthroplasty.Methods：Seventy-five patients required total hip arthroplasty were randomly divided into observation group（40 cases） and control group（35 cases）.On the basis of the routine nursing care,the patients of observation group were given deep educations of the knowledge of anesthesia and surgical procedure,including possible complications of the operation and its preventions.The patients of control group were given only routine nursing care.The incidence rate of anxiety and satisfaction rate of surgery were compared between the two groups.Results：The incidence rate of severe anxiety was 47.5% in observation group and 42.9% in control group before the interventions（P0.05）.The incidence rate of severe anxiety was 17.5% in observation group and 45.7% in control group after the interventions（P0.01）.Conclusions：The incidence rate of anxiety of is higher in patients before total hip arthroplasty.It can be reduced through deep nursing interventions on the basis of routine nursing care.

关 键 词：关节/外科手术 髋关节 焦虑 护理干预 

分 类 号：R687.4[医药卫生—骨科学]