临床综合干预护理对老年髋部骨折患者术后焦虑状态的影响  

Impact of comprehensive clinical nursing intervention on postoperative anxiety of elderly hip fracture patients

作　　者：潘亚英[1] 李宝玲[1] 王华[1] 袁连芳 

机构地区：[1]西安医学院第二附属医院,西安710038

出　　处：《国际精神病学杂志》2015年第2期84-87,共4页Journal Of International Psychiatry

摘　　要：目的探讨临床综合干预护理对老年髋部骨折患者术后焦虑状态的影响。方法运用随机抽样的方法选取西安医学院第二附属医院骨科2010年1月至2013年9月收治的200例患者,依据随机数字表法将这些患者分为研究组(n=100)和对照组(n=100)。给予对照组患者常规护理,给予研究组患者综合干预护理。结果研究组患者的Hariss髋关节评分和Barthel指数、GSES评分均显著高于对照组(P<0.05),SAS评分显著低于对照组(P<0.05),止痛药物和抗抑郁药物使用率[8.0%(8/100)、3.0%(3/100)]均显著低于对照组[20.0%(20/100)、16.0%(16/100)](P<0.05),对临床护理工作的满意度93%(93/100)显著高于对照组78%(78/100)(P<0.05)。结论临床综合干预护理能够显著改善老年髋部骨折患者术后焦虑状态,值得推广。Objective To investigate the impact of comprehensive clinical nursing intervention on postoperative anxiety of elderly hip fracture patients. Methods 200 cases of patients who were treated in the Second Affiliated Hospital of Xi’an Medical orthopedic from January 2010 to September 2013 were selected by random sampling method,these patients were divided into study group（ n = 100） and control group（ n = 100） according to a random number table. The control group were given routine care,while the study group were given comprehensive intervention care. Results The Hariss hip score and Barthel Index,GSES scores of the study group were significantly higher（ P 〈 0. 05）,the SAS scores were significantly lower than the control group（ P 〈 0. 05）,the pain medications and antidepressants usage 8. 0%（ 8 /100）,3. 0%（ 3 /100） were significantly lower than the control group20. 0%（ 20 /100）,16. 0%（ 16 /100）（ P 〈 0. 05）,the satisfaction with clinical nursing job 92. 00%（ 93 /100）was significantly higher than 78. 00%（ 78 /100）（ P 〈 0. 05）. Conclusions Comprehensive clinical nursing intervention can significantly improve postoperative anxiety of elderly hip fracture patients,so is worthy of promotion.

关 键 词：临床综合干预护理 老年髋部骨折患者 术后焦虑状态 

分 类 号：R749.05[医药卫生—神经病学与精神病学]