观察聚焦解决模式联合营养干预对老年骨质疏松性骨折患者睡眠质量的影响  

To Observe the Effect of Focused Solution Model Cmbined with Nutritional Intervention on Sleep Quality in Elderly Patients with Osteoporotic Fracture

作　　者：李明慧 袁斐[1] LI Minghui;YUAN Fei(The 909 Hospital of Joint Logistic Support Force,Southeast Hospital Affiliated to Xiamen University,Zhangzhou 363000,China)

机构地区：[1]联勤保障部队第909医院厦门大学附属东南医院,漳州363000

出　　处：《世界睡眠医学杂志》2022年第11期2065-2067,共3页World Journal of Sleep Medicine

摘　　要：目的:探究聚焦解决模式联合营养干预对老年骨质疏松性骨折患者睡眠的影响。方法:选取2020年1月至2022年1月联勤保障部队第909医院厦门大学附属东南医院收治的老年骨质疏松性骨折患者100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例。采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)比较2组患者焦虑、抑郁症状改善情况,比较2组患者护理满意度及不良反应发生率,同时比较2组患者骨折愈合的效果。结果:护理干预后,观察组的骨折愈合优良率显著高于对照组,观察组的并发症发生率显著低于对照组,观察组的总护理满意度显著高于对照组,观察组PSQI评分、SAS评分和SDS评分均有所降低,且观察组显著低于对照组,2组比较差异均有统计学意义(P<0.05)。结论:聚焦解决模式联合营养干预能更好地提高老年骨质疏松性骨折患者的睡眠质量,降低其焦虑、抑郁水平,提高骨折愈合效果,护理满意度更高。Objective:To explore the effect of solution-focused mode combined with nutritional intervention on sleep in elderly patients with osteoporotic fracture.Methods:A total of 100 elderly patients with osteoporotic fracture admitted to the 909th Hospital of the Joint Logistic Support Force of Xiamen University Affiliated Southeast Hospital from January 2020 to January 2022 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 50 cases in each group.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference of sleep quality between 2 groups.Self-rating Anxiety Scale(SAS)was used to compare the difference of sleep quality between 2 groups,Self-Rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms,nursing satisfaction and incidence of adverse reactions between 2 groups,and the effect of fracture healing between the 2 groups was also compared.Results:After nursing intervention,the excellent rate of fracture healing in the observation group was higher than the control group,the incidence of complications in the observation group was significantly lower than the control group,the total nursing satisfaction of the observation group was significantly higher than the control group,the PSQI score,SAS score and SDS score of the observation group were decreased,and the observation group was significantly lower than the control group.The differences between the 2 groups were statistically significant(P s<0.05).Conclusion:Solution-focused mode combined with nutritional intervention can better improve the sleep quality of elderly patients with osteoporotic fracture,reduce their anxiety and depression levels,improve the fracture healing effect,and higher nursing satisfaction.

关 键 词：聚焦解决模式 营养干预 老年患者 骨质疏松 骨折 睡眠质量 

分 类 号：R683[医药卫生—骨科学] R338.63[医药卫生—外科学]