强化护理联合循证护理干预对髋关节置换术后患者的负性情绪、睡眠质量及肢体功能的影响  

The effect of intensive nursing combined with evidence-based nursing intervention on negative emotion,sleep quality and limb function in patients after hip replacement

作　　者：田媛[1] TIAN Yuan(Department of OsteoarthropathyⅡ,Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院关节病科Ⅱ,郑州450052

出　　处：《国际精神病学杂志》2021年第1期183-186,共4页Journal Of International Psychiatry

基　　金：2018年度河南省科技攻关项目(编号:182102310690):基于3D打印技术定制假体在髋臼骨缺损关节置换中的应用研究。

摘　　要：目的评价髋关节置换手术患者接受强化护理结合循证护理对其负性心理、睡眠质量与肢体功能评分影响。方法通过随机抽样法选取2018年4月~2019年6月本院收治80例接受髋关节置换手术患者,依据患者入院先后顺序依次分为参照组(n=40)与研究组(n=40)。参照组患者予以常规手术护理,研究组患者予以强化护理结合循证护理。比较两组患者护理前后负性心理、关节疼痛评分、睡眠质量与肢体功能评分情况。结果两组患者手术指标、术后恢复状况对比无明显差异(P>0.05);护理后研究组患者HAMA量表、HAMD量表以及肢体VAS评分相比参照组均明显更低(P<0.05);护理后研究组患者PSQI指数评分相比参照组均明显更低(P<0.05),护理后研究组患者Harris髋关节功能评分相比参照组患者明显更高(P<0.05)。结论临床针对髋关节置换术患者予以循证护理结合强化护理干预能促进患者术后肢体功能恢复,减少负性心理与术后肢体疼痛症状,提高患者术后睡眠质量。Objective To evaluate the effect of intensive care combined with evidence-based nursing on the negative psychology,sleep quality and limb function score in patients undergoing hip replacement surgery.Methods 80 patients undergoing hip replacement surgery from April 2018 to June 2019 in our hospital were selected and divided into a reference group(n=40)and a research group(n=40)according to the order of admission.Patients in the reference group were given routine surgical care,and patients in the study group were given intensive care combined with evidence-based nursing.The negative psychology,joint pain score,sleep quality and limb function score of the two groups of patients before and after nursing were compared.Results There was no significant difference in surgical indicators and postoperative recovery status between the two groups of patients(P>0.05).The HAMA scale,HAMD scale,and limb VAS scores of the study group patients after nursing were significantly lower than those of the reference group(P<0.05).The PSQI index scores of patients in the study group after nursing were significantly lower than that of the reference group(P<0.05).The Harris hip function score of the study group patients after nursing was significantly higher than that of the reference group(P<0.05).Conclusion Evidence-based nursing combined with intensive nursing intervention for patients with hip replacement surgery can promote the recovery of postoperative limb function,reduce negative psychology,postoperative limb pain symptoms,and improve the quality of postoperative sleep of patients.

关 键 词：强化护理 循证护理 髋关节置换术 负性情绪 睡眠质量 肢体功能 

分 类 号：R749.99[医药卫生—神经病学与精神病学]