骨科手术患者抑郁情绪的影响因素分析及护理对策  

Analysis of influencing factors for depression of patients undergoing orthopedic operation and its countermeasures

作　　者：张梅[1] 李春美[1] 解淑叶[1] 

机构地区：[1]山东省滨州市人民医院,256610

出　　处：《中国实用护理杂志》2012年第24期18-20,共3页Chinese Journal of Practical Nursing

摘　　要：目的研究导致骨科手术患者产生抑郁情绪的重要影响因素，并针对其提出合理的护理方案。方法使用抑郁自评量表（SDS）、社会支持评定量表（SSRS）和自行设计问卷方法对198例骨科手术患者进行调查，回收有效问卷185份。对各项影响患者抑郁情绪的因素进行Logistic回归分析。结果185例准备接受手术治疗的患者中合并抑郁105例占56．8％，105例抑郁患者中轻度抑郁70例占66．6％，中度抑郁30例占28．6％，重度抑郁5例占4．8％。本组患者手术前SDS评分为（37．59±8．74）分，与全国常模SDS评分（33．46±8．55）分相比显著升高；单因素和多因素Logistic回归分析显示，自费医疗、担心预后不良、担心诊疗水平、认为医护态度不好都是导致患者产生抑郁情绪的主要原因；而社会支持利用度水平较高则是防止患者抑郁的保护性因素。结论针对骨科患者较为严重的抑郁心理，医务人员应该采取一定措施来提高患者的心理素质，从而达到提高身体素质的目的。Objective To study the influencing factors which will lead to depression in patients un- dergoing orthopedic operation and put forward reasonable nursing countermeasures. Methods 198 pa-tients with orthopaedic operation were investigated using the self-rating depression scale （SDS）, social sup- port rating scale （SSRS） and self-designed questionnaire. The influencing factors underwent Logistic re- gression analysis. Results 105 cases of patients with depression were found among 185 cases, accounting for 56.8%, and 70 cases（66.6%） with mild depression, 30 cases（28.6%） with moderate depression, 5 cases （4.8%） with severe depressive disorders. SDS score before operation was （37.59 ± 8.74）, higher than （33.46 ± 8.55） of the national norm. Single factor and multiple factors Logistic regression analysis revealed that paying out-of-pocket for healthcare, worrying about poor prognosis, worrying about the diagnosis and treatment level, considering bad attitude of medical staff were main influencing factors for depression, while social support is a good way to protect patients against depression. Conclusions To cope with the seri-ous depression of orthopedic patients, medical staff should take certain measures to improve patients＇ psy-chological quality, so as to achieve the purpose of improving their physical quality.

关 键 词：骨科患者 抑郁 影响因素 护理 

分 类 号：R473.6[医药卫生—护理学]