观察保守治疗辅助家庭干预护理对老年肱骨近端骨折患者自我效能及睡眠质量的影响  

To Observe the Effect of Conservative Treatment Assisted Home Intervention Nursing on Self-efficacy and Sleep Quality in Elderly Patients with Proximal Humerus Fracture

作　　者：沈妙芬[1] 谢伟清[1] SHEN Miaofen;XIE Weiqing(Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou 363000,China)

机构地区：[1]福建省漳州市中医院,漳州363000

出　　处：《世界睡眠医学杂志》2023年第3期500-503,共4页World Journal of Sleep Medicine

摘　　要：目的:分析保守治疗辅助家庭干预护理在老年肱骨近端骨折患者中的应用效果及自我效能及睡眠质量的影响。方法:选取2019年7月至2020年6月福建省漳州市中医院骨伤科收治的老年肱骨近端骨折患者90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45例。对照组给予常规护理干预,观察组给予家庭护理干预。采用自我效能感量表(GSES)评价2组干预前、后自我效能,应用汉密顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价2组干预前、后心理状态,应用肩关节功能评分量表(CMS)评估2组干预前、后肩功能恢复情况,应用匹兹堡睡眠质量指数(PSQI)量表评定睡眠质量,比较2组干预后并发症发生率,包括红肿、伤口感染、骨折畸形愈合等。结果:干预后,观察组自我效能(GSES)评分、肩功能评分均显著高于对照组,HAMD、HAMA评分、PSQI评分和并发症发生率均显著低于对照组,2组比较差异有统计学意义(P<0.05)。结论:家庭干预护理不仅可以改善老年肱骨近端骨折患者的负性情绪,促进患者的肩功能恢复,提高患者自我效能,改善患者睡眠质量,降低并发症发生率,值得临床推广使用。Objective:To analyze the effect of conservative treatment assisted home intervention nursing in elderly patients with proximal humerus fracture and the influence of self-efficacy and sleep quality.Methods:A total of 90 elderly patients with proximal humerus fracture admitted to the orthopaedics Department of Zhangzhou Hospital of Traditional Chinese Medicine from July 2019 to June 2020 were selected as research objects,and were divided into observation group and control group according to the random number table method,with 45 cases in each group.According to the random number table they were divided into control group and observation group.The control group was given routine nursing intervention,and the observation group was given family nursing intervention.The Self-efficacy scale(GSES)was used to evaluate the pre-intervention and post-intervention self-efficacy of 2 groups,the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were used to evaluate the pre-intervention and post-intervention psychological states of 2 groups,and the shoulder function recovery was assessed by the shoulder joint function Score Scale(CMS).Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality,and the incidence of complications,including redness,wound infection and fracture malunion were compared between the two groups after intervention.Results:After intervention,self-efficacy(GSES)scores and shoulder function scores in the observation group were significantly higher than those of the control group,while HAMD,HAMA,PSQI scores and complication rate were significantly lower than those of the control group,and the difference between the 2 groups was statistically significant(P s<0.05).Conclusion:Home intervention nursing can not only improve the negative emotions of elderly patients with proximal humerus fracture,promote the recovery of shoulder function,improve patient′s self-efficacy,improve patient′s sleep quality,reduce the incidence of complications,and is worthy of clinical promotion.

关 键 词：家庭干预护理 肱骨近端骨折 自我效能 睡眠质量 焦虑 抑郁 肩功能 

分 类 号：R274.11[医药卫生—中医骨伤科学] R338.63[医药卫生—中医学]