C反应蛋白对骨折患者心理及疼痛护理模式的影响  

Effect of C-reactive protein on psychological status and pain nursing in fracture patients

作　　者：刘萍 陈珏[2] 时华[3] 丁立东[4] 肖章红[4] 殷婷 LIU Ping;CHEN Jue;SHI Hua;DING Lidong;XIAO Zhanghong;YIN Ting(Orthopedic Department,Taizhou Second People′s Hospital,Taizhou,Jiangsu,225500;Oncology Department,Taizhou Second People′s Hospital,Taizhou,Jiangsu,225500;Nursing Department,Taizhou Second People′s Hospital,Taizhou,Jiangsu,225500;Neurology Department,Taizhou Second People′s Hospital,Taizhou,Jiangsu,225500;Psychology Treatment Center,Taizhou Second People′s Hospital,Taizhou,Jiangsu,225500)

机构地区：[1]江苏省泰州市第二人民医院骨科,江苏泰州225500 [2]江苏省泰州市第二人民医院肿瘤中心,江苏泰州225500 [3]江苏省泰州市第二人民医院护理部,江苏泰州225500 [4]江苏省泰州市第二人民医院神经内科,江苏泰州225500 [5]江苏省泰州市第二人民医院心理治疗中心,江苏泰州225500

出　　处：《实用临床医药杂志》2018年第24期128-132,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省自然科学基金(SBK2018022212)

摘　　要：目的观察C反应蛋白(CRP)在判断闭合性骨折患者焦虑及疼痛中的敏感性与特异性,探讨心理护理对患者焦虑及疼痛的干预作用。方法收集研究时间窗内无需手术的闭合性骨折患者,检测其外周血CRP,应用焦虑自评量表(SAS)及数字疼痛评估表(NRS)评估患者的焦虑及疼痛程度,以受试者工作特征曲线(ROC曲线)分析CRP判断焦虑的敏感性及特异性,将焦虑患者随机分为心理护理组及护理对照组,分析心理护理对焦虑及疼痛的干预作用。结果 CRP> 12. 93 mg/L时,其判断患者合并焦虑的敏感性为74%,特异性为87%(AUC=0. 75,P <0. 01)。接受心理护理的患者在研究终点时SAS及NRS评分显著下降,与护理对照组比较,差异有统计学意义(P <0. 05)。结论 CRP能够客观有效地判断骨折患者是否合并焦虑及慢性疼痛,实施心理护理可有效降低患者的焦虑及疼痛程度。Objective To observe the sensitivity and specificity of C-reactive protein(CRP)in the assessment of anxiety and pain in patients with closed fracture,and explore effect of psychological nursing on anxiety and pain.Methods The peripheral blood CRP of closed fracture patients without surgery were detected,and anxiety and pain were assessed using Self-rating Anxiety Scale(SAS)and Numerrcal Rating Scale(NRS),respectively.Receptive operation curve(ROC)was used to analyze the sensitivity and specificity of CRP in enrolled patients.All the anxiety patients were randomized into psychological nursing group and control group,the effect of psychological nursing on anxiety and pain was explored.Results When the level of CRP was 12.93 mg/L,the sensitivity and specificity of the patients combined with anxiety were 74%and 87%,respectively(AUC=0.75,P<0.001).At the end of the study,the SAS and NRS scores of the patients receiving psychological care decreased significantly,significant difference was found in two groups(P<0.05).Conclusion CRP can objectively and effectively determine whether the fracture patients are complicated with anxiety and chronic pain,and psychological nursing can effectively reduce the anxiety and pain.

关 键 词：C反应蛋白 闭合性骨折 焦虑 心理护理 

分 类 号：R248.2[医药卫生—中医临床基础]