骨科手术患者实施护理干预对术后焦虑抑郁状态的效果分析  

The Effect Analysis of Fractures Patients with the Implementation of Nursing Intervention on Postoperative Anxiety and Depression State

作　　者：许玮[1] 李建华[1] 曾木兰[1] 

机构地区：[1]江西省萍乡市人民医院,江西萍乡337005

出　　处：《中国医学创新》2014年第23期82-84,共3页Medical Innovation of China

摘　　要：目的:观察并分析骨折手术患者实施护理干预的临床效果。方法:选取本院2013年收治的64例骨折患者作为研究对象,按照随机数字表法将其分为对照组和干预组各32例。对照组采取常规护理,如协助患者进行术前检查及其他针对性治疗等。干预组在常规护理的基础上采取护理干预,如心理护理等。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评价两组患者术前、术后抑郁和焦虑改善情况,同时采用生活质量综合评定问卷(GQOLI-74)评价和比较两组患者的生活质量。结果:两组护理前的抑郁和焦虑评分比较差异均无统计学意义(P>0.05)。护理干预后,干预组的抑郁和焦虑评分分别为(37.23±6.30)分、(36.51±5.24)分,均明显低于对照组的(47.25±6.39)分、(47.67±8.31)分,差异均有统计学意义(P<0.05)。两组护理前生活质量评分的比较差异无统计学意义(P>0.05),两组护理后的生活质量评分均明显升高,且干预组的生活质量评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:骨折手术患者实施心理护理等护理干预能够有效改善患者抑郁和焦虑状态,同时提高患者生命质量,值得在临床上推广。Objective：To observe and analyze the clinical effect of fractures patients with the implementation of nursing intervention.Method：64 fracture patients in our hospital in 2013 were selected as research objects,they were randomly divided into the control group and the intervention group according to the random number table method, 32 cases in each group.The control group was given routine nursing care,such as assisting patients with preoperative examination and other targeted therapy,etc.The observation group was given nursing intervention on the basis of routine nursing,such as psychological nursing,etc.The improvement of depression and anxiety in two groups with preoperative and postoperative were evaluated using self-reported depression scale（SDS）and anxiety self rating scale（SAS）,at the same time the quality of life between the two groups were evaluated and compared using life quality comprehensive evaluation questionnaire（GQOLI-74）.Result：There was no statistically significant difference in the depression and anxiety score before implementing nursing（P〉0.05）.After nursing intervention,the depression and anxiety score in observation group,respectively（37.23±6.30）score,（36.51±5.24）score,they were significantly lower than （47.25±6.39）score,（47.67±8.31）score in control group,the differences were statistically significant（P〈0.05）. There was no statistically significant difference in the quality of life before implementing nursing（P〉0.05）,After nursing intervention,the quality of life scores in two groups were significantly increased after nursing,but the quality of life score in observation group was significantly higher than the control group,the differences were statistically significant（P〈0.05）. Conclusion：Fracture patients with the implementation of psychological nursing intervention can improve the depression and anxiety,at the same time,improve the quality of life of patients,is worthy of clinical application.

关 键 词：骨折 护理干预 焦虑 抑郁 手术 

分 类 号：R473.6[医药卫生—护理学]