综合心理干预对骨折手术患者术前焦虑及术后康复的影响  

Effect of Comprehensive Psychological Intervention on Preoperative Anxiety and Postoperative Rehabilitation of Patients with Fracture Pperation

作　　者：王春梅[1] 王倩[1] 

机构地区：[1]重庆三峡中心医院骨一科,重庆404000

出　　处：《中国卫生产业》2016年第7期69-73,共5页China Health Industry

摘　　要：目的探讨综合心理干预对骨折手术患者术前心理焦虑以及术后康复积极性的影响。方法选取该院2013年1月—2014年1月间该院收治的90例股骨骨折患者作为研究对象,将其随机分为对照组和实验组,每组45例。对照组行常规护理包括术前准备、基础护理、术后观察、预防并发症、康复护理、随机教育。实验组在对照组的基础上行综合心理干预包括营造良好治疗氛围、个性化心理护理、社会支持。比较两组患者在术前心理焦虑、手术耐受性以及术后康复状况的差异性。结果对实验组患者行综合心理干预护理后,两组患者个性指标评价具有显著性差异。实验组焦虑评分(41.36±3.34)分低于对照组(46.21±4.01)分,积极应对评分(40.26±4.22)分高于对照组(26.31±5.74)分,消极评分(31.42±6.26)低于对照组(34.47±4.86)分,差异有统计学意义(P<0.05)。实验组手术耐受性91.1%高于对照组73.3%,康复积极性(75.68±11.03)高于对照组(64.32±11.32)分,并发症并发率2.2%低于对照组15.6%,住院时间(5.82±2.15)d低于对照组(8.85±2.31)分,护理满意度88.9%高于对照组77.8%,差异有统计学意义(P<0.05)。结论综合心理护理干预对骨折手术患者的治疗具有重要价值,可显著减轻患者术前的心理焦虑,并对患者术后的康复具有积极意义。Objective To explore the effect of the comprehensive psychological intervention in patients with fracture surgery preoperative psychological anxiety and postoperative rehabilitation enthusiasm.Methods Selected 90 patients with fracture of the femur in our hospital from January 2013 to January 2013 as the research object,randomly divided into control group and experimental group,45 cases in each group.Control group took the routine nursing including preoperative preparation,basic nursing,postoperative observation and prevent complication,rehabilitation nursing,random education.On the basis of the control group the experimental group took the comprehensive psychological intervention including created a good atmosphere,personalized psychological care and social support treatment.Compared the differences between two groups of patients in the preoperative psychological anxiety,tolerance and the differences of the postoperative rehabilitation.Results After comprehensive psychological nursing intervention in experimental group,the character index evaluation had significant difference in both groups.Experimental group anxiety score（41.36±3.34） was lower than the control group（46.21±4.01）,and actively response score（40.26±4.22） higher than that of control group（26.31 ±5.74）,negative score（31.42±6.26） was lower than the control group（34.47±4.86）,the differences were statistically significant（P〈0.05）.Experimental surgery tolerance91.1% higher than that of control group 73.3%,recovery initiative（75.68±11.03） higher than that of control group（64.32±11.32）,concurrent rate of complications was 2.2% lower than the control group 2.2%,length of hospital stay（5.82±2.15） was lower than the control group（8.85±2.31）,nursing satisfaction 88.9% higher than that of control group 77.8%,the differences were statistically significant（P〈0.05）.Conclusion Comprehensive psychological nursing intervention plays an important value in the treatment of patients with fracture surgery,pati

关 键 词：综合心理干预 骨折 术前焦虑 术后康复 

分 类 号：R473[医药卫生—护理学]