心理干预在小儿骨折门诊石膏固定术后康复依从性及心理行为的影响  

Analysis on the Effects of Psychological Intervention on Rehabilitation Compliance and Psychological Behavior after Gypsum Fixation in Pediatric Fracture Clinic

作　　者：隋丽娟 张桂红 SUI Li-juan;ZHANG Gui-hong(The eighty group military hospital of Peoples liberation army ground,Weifang,Shandong 261021)

机构地区：[1]中国人民解放军陆军第八十集团军医院,山东潍坊261021

出　　处：《中国伤残医学》2023年第5期27-31,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：观察和探讨心理干预对小儿骨折门诊石膏固定术后康复依从性及心理行为的影响。方法:随机将我院门诊2017年2月-2018年6月收治的骨折石膏固定的患儿按照随机数字法分成观察组和对照组,各50例。对照组给予常规护理,观察组在常规护理的基础上实施心理干预。比较2组患儿的配合程度,术后并发症发生情况,观察和比较2组患者入院时和术后3天的抑郁(SDS)与焦虑(SAS)评分。结果:观察组患儿术后并发症发生率低于对照组(P<0.05);观察组患儿配合程度及家长对石膏固定的满意度均高于对照组(P<0.05);2组患儿入院时SDS评分与SAS评分对比,差异无统计学意义(P>0.05);术后3天,2组SAS评分和SDS评分均低于入院时,且观察组低于对照组(P<0.05)。结论:实施心理干预使患儿能够愿意配合石膏固定,降低术后并发症发生率,可以有效地减轻或者消除患儿存在的焦虑、抑郁与恐慌等不良情绪。Objective:To observe and explore the influence of psychological intervention on rehabilitation compli-ance and psychological behavior of children fracture clinic after plaster fixation.Methods:From February 2017 to June 2018,randomly divide the patients with gypsum fixation in the outpatient department of our hospital into the nursing group and the control group,each of which is 50 cases.The control group is given routine nursing,and the nursing group is given psychological intervention on the basis of routine nursing.The degree of cooperation between the two groups of children and the occurrence of postoperative complications were compared,and the scores of depres-sion(SDS)and anxiety(SAS)on admission and 3 days after surgery were observed and compared between the two groups.Results:The incidence of postoperative complications in the nursing group was lower than that in the control group(P<0.05).The degree of cooperation of children in the nursing group and parents'satisfaction with gypsum fixation were higher than those of the control group(P<0.05).The SDS scores and SAS scores of the two groups were compared on admission,and the differences were not statistically significant(P>0.05).Three days after sur-gery,both SAS and SDS scores were lower than those on admission,and the observation group was lower than the control group(P<0.05).Conclusion:Psychological intervention can enable children to actively cooperate with gypsum fixation,reduce the incidence of postoperative complications,and effectively alleviate or eliminate such ad-verse emotions as anxiety,depression and panic in children.

关 键 词：心理干预 小儿骨折 石膏固定术 康复依从性 

分 类 号：R473[医药卫生—护理学]