股骨颈骨折患者围手术期医院感染的心理干预  

Psychological interventions to perioperative nosocomial infections in patients with femoral neck fracture

作　　者：陈力[1] 徐春晖[1] 田克[1] 李幼辉[2] 

机构地区：[1]郑州大学第五附属医院精神医学科,河南郑州450000 [2]郑州大学第一附属医院精神医学科,河南郑州450000

出　　处：《中华医院感染学杂志》2013年第20期4936-4937,4947,共3页Chinese Journal of Nosocomiology

基　　金：河南省科技攻关项目(200803046)

摘　　要：目的观察心理干预对股骨颈骨折围手术期医院感染患者治疗的效果,探讨心理干预在股骨颈骨折围手术期医院感染患者中的作用。方法收集医院2010年1-11月收治的股骨颈骨折围手术期医院感染患者118例,将其随机分为试验组58例与对照组60例,对照组患者给予常规外科准备和告知同意,试验组患者在对照组的基础上给予心理干预,并对两组患者治疗后的心理状态评分及患者感染愈合率及并发症进行比较。结果治疗前后试验组患者抑郁自评量表(SDS)分别为(49.2±8.6)、(40.1±10.2)分,焦虑自评量表(SAS)分别为(48.6±9.2)、(38.4±8.9)分,差异有统计学意义(P<0.05);心理干预实施后试验组医院感染愈合率为86.2%高于对照组50.0%,压疮及血管栓塞发生率均低于对照组,差异有统计学意义(P<0.05)。结论医师在医治股骨、颈骨折患者围手术期医院感染时应重视对其心理状况的医治,通过进行心理干预来改善患者的不良情绪,术前心理干预有助于使患者具备耐受手术的勇气及术后能使患者的生理功能得到迅速地恢复。OBJECTIVE To observe the treatment effect of psychological intervention on perioperative nosocomial infections in patients with femoral neck fracture and to explore the role of psychological interventions in the perioperative period of patients with femoral neck fracture and nosocomial infections. METHODS A total of 118 cases of patients with perioperative femoral neck fracture and nosocomial infections were collected from Jan. 2010 to Nov. 2010 ,and were randomly divided into the test group and the control group. Patients of control group were treated with conventional surgical preparation and signed the informed consent, while the patients of the test group were given psychological intervention on the basis of control group, then the psychological state score and infection cure rate and complications after treatment were compared between the two groups. RESULTS In the test group, the self-rating depression scale （SDS） score was（49.2 ~ 8.6）points before the treatment, （40.1 ~ 10.2）points after the treatment~ the selbrating anxiety scale （SAS） score was （48. 6 ~ 9. 2） points before the treatment, （38.4 i8.9）points after the treatment, the difference was significant（P 〈0. 05）. After the implementation of the psychological interventions, the cure rate of nosocomial infections of the test group was 86. 2%, significantly higher than 50.0% of the control group, while the incidence of pressure ulcers or vascular embolization of the test group was lower than that of the control group, the difference was significant（P〈0.05）. CONCLUSION Doctors should pay attention to the psychological interventions to the femoral and cervical vertebrae fracture patients with nosocomial infections during the perioperative period, which may improve the negative emotions~ the preoperative psychological interventions can contribute to the courage of tolerance of operation and the early recovery of postoperative physiological function.

关 键 词：骨折 围手术期 医院感染 心理干预 

分 类 号：R681.8[医药卫生—骨科学]