创伤性骨折患者应激障碍特点分析及护理干预  

Analysis of the characteristics of stress-related disorders of patients with traumatic fracture and nursing intervention

作　　者：杜红霞[1,2] 王华[3] 李惠莲[2] 刘阳子[2] 郭洁[2] 臧渝梨[1] 

机构地区：[1]山东大学护理学院,山东济南250012 [2]山东大学附属济南市中心医院 [3]山东大学附属千佛山医院

出　　处：《齐鲁护理杂志（中旬刊）》2012年第12期6-8,共3页Journal of Qilu Nursing

基　　金：济南市卫生局科技计划项目(2008-38)

摘　　要：目的:探讨创伤性住院骨折患者创伤后应激障碍(PTSD)的特点及护理干预效果。方法:对670例创伤性骨折入院患者进行问卷调查,采取相应护理措施,并对干预效果进行效果评价。结果:完成调查问卷的580例患者中有217例(37.41%)符合PTSD诊断标准。根据数据分析与PTSD发生密切相关因素,PTSD组SCL-90中总分、阳性项目数、阴性项目数、躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、其他因子分均高于非PTSD组,SDS得分(54.23±11.74)分,高于国内常模(41.88±10.57)分。结论:骨创伤事件后PTSD并非罕见,多发创伤者更易获得,且PTSD的发病率与个性心理特征有关,经早期护理干预骨创伤患者PTSD的发病率明显降低。Objective ： To analyze the characteristics of stress - related disorders of the hospitalized patients with traumatic fractures and investigate the effect of nursing intervention. Methods ：The questionnaire survey was conducted to 670 hospitalized patients with traumatic fractures. The patients were given corresponding nursing intervention, and then the effect of nursing intervention was evaluated. Results ： In 580 patients who completed the survey,217 patients （37.41%）conformed with PTSD diagnostic criteria. According to the data analysis and the related factors closed to PTSD, the SCL - 90 score, number of positive and negative items, the scores of other factors like somatization, obsessive symptoms, interpersonal sensitivity, depression, anxiety, hostility and horror were higher in the PTSD group than those in the non - PTSD group,and the SDS scores were （54.23 ±11.74} and they were higher than the national norm （41.88 ± 10.57 ）. Conclusion： PTSD is common in the patients with traumatic fractures and the incidence of PTSD is related to psychological characteristics of personality. The early nursing intervention can effectively reduce the incidence of PTSD.

关 键 词：PTSD 创伤性骨折 骨科 护理干预 

分 类 号：R473.6[医药卫生—护理学]