加温输液护理对四肢骨折患者不良情绪及围术期应激反应的影响  

Heating infusion nursing in patients with limbs fracture bad feelings and the impact of perioperative stress response

作　　者：于聪[1] 吴红男[2] 齐颖[1] 

机构地区：[1]哈尔滨医科大学附属第四医院骨五科,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第一医院眼四科,黑龙江哈尔滨150001

出　　处：《中国医药导报》2016年第17期140-143,共4页China Medical Herald

基　　金：黑龙江省卫生厅科研课题(2012-695)

摘　　要：目的探究与分析加温输液护理对四肢骨折患者不良情绪及围术期应激反应的影响。方法选取哈尔滨医科大学附属第四医院2014年3月-2016年3月收治的90例四肢骨折患者,采取随机数字表法分为常规输液护理组与加温输液护理组,每组各45例,对比两组患者护理前后焦虑抑郁情绪、术后卧床时间、住院时间、手术前后应激反应指标、炎症因子指标变化及生活质量。结果两组护理后与护理前相比焦虑量表及抑郁量表评分较低,加温输液护理组较常规输液护理组相比上述评分降低更加显著,差异有统计学意义（P〈0.05）。加温输液护理组较常规输液护理组相比术后卧床时间及住院总时间均缩短,差异有统计学意义（P〈0.05）。两组术后较术前相比E、NE及R水平均升高,常规输液护理组较加温输液护理组相比上述指标上升更加显著,差异具有统计学意义（P〈0.05）。两组术后较术前相比IL-1、TNF-α水平均升高,常规输液护理组较加温输液护理组相比上述指标上升更加显著,差异有统计学意义（P〈0.05）。加温输液护理组与常规输液护理组比较,整体健康状况、躯体功能、角色功能、情感功能、认知功能以及社会功能均较高,差异有统计学意义（P〈0.05）。结论对四肢骨折患者采用加温输液护理可显著降低焦虑抑郁情绪,缩短康复时间,降低围术期应激反应指标,抑制炎性反应,安全性更高。Objective To explore and analyze heating infusion nursing bad mood in patients with limbs fracture and the effect of perioperative stress response. Methods 90 patients with fracture of limbs selected from the Fourth Hospital of Harbin Medical University from March 2014 to March 2016 were selected and divided into conventional infusion nursing group and heating infusion group using a random number table method, with 45 cases in each group. Anxiety depression before and after nursing, postoperative bed time, length of hospital stay, stress reaction and inflammation factor indicators before and after surgery of two groups patients were compared. Results Compared with before treatment, the anxiety scale and depression rating scale scores after nursing in two groups were lower, heating infusion nursing more routine transfusion nursing group reduced more significantly than the above score, with significant difference（P〈0.05）.Compared with the conventional infusion nursing group, postoperative bed time and total time in hospital heating infusion nursing group were shortened, with significant difference（P〈0.05）. E, NE and R levels of two groups were elevated than preoperative, compared with heating infusion nursing group, the index of conventional infusion nursing group rose more significantly, with significant difference（P〈0.05）. IL-1, TNF alpha were higher than preoperative, the index of heating infusion nursing group rose more significantly, with significant difference（P〈0.05）. The overall health,physical function, role function, emotional function, cognitive function and social function of heating infusion group were higher than those of routine transfusion nursing group, with significant difference（P〈0.05）. Conclusion Heating infusion nursing on limbs fracture can significantly reduce the anxiety depression, shorten the healing time, reduce perioperative stress response index, inhibit inflammation and has higher security.

关 键 词：加温输液护理 四肢骨折 不良情绪 围术期应激反应 炎性反应 

分 类 号：R683.4[医药卫生—骨科学]