心理护理干预对慢性踝关节不稳定伴抑郁症患者情绪的影响  

Effect of Psychological Nursing Intervention on Emotions of Patients with Chronic Ankle Instability Complicated with Depression

作　　者：孙艳红[1] 张燕[1] 张卫红[2] SUN Yanhong;ZHANG Yan;ZHANG Weihong(Department of Psychiatry,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Orthopaedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院精神医学科,河南郑州450052 [2]郑州大学第一附属医院骨科,河南郑州450052

出　　处：《河南医学研究》2024年第8期1514-1517,共4页Henan Medical Research

摘　　要：目的研究心理护理干预对慢性踝关节不稳定合并抑郁症患者情绪的影响。方法前瞻性研究,选取2020年1月至2022年1月在郑州大学第一附属医院骨科住院的61例慢性踝关节不稳定合并抑郁症患者,随机分为对照组(30例)和观察组(31例),对照组服用抗抑郁药,接受常规护理措施,观察组在对照组基础上接受心理护理干预,比较两组的焦虑抑郁状态、术后疼痛状况、康复效果及足踝功能。结果干预后,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均降低,且观察组低于对照组(P<0.05)。干预后,观察组视觉模拟评分(VAS)比对照组低,下床活动时间、住院时间比对照组短,踝关节肿胀的发生率比对照组低(P<0.05)。干预后,观察组的美国矫形外科足踝协会踝-后足功能评分系统(AOFAS)评分比对照组高(P<0.05)。结论心理护理干预能缓解慢性踝关节不稳定患者术后的焦虑抑郁情绪,缓解疼痛程度,促进患者康复。Objective To study the effect of psychological nursing intervention on emotions of patients with chronic ankle instability complicated with depression.Methods A prospective study was conducted on 61 patients with chronic ankle instability combined with depression who were hospitalized from January 2020 to January 2022 in the Department of Orthopaedics of the First Affiliated Hospital of Zhengzhou University,they were rondomly divided into control group(30 cases)and observation group(31 cases).The control group received antidepressants and routine nursing measures,and the observation group received targeted nursing psychological intervention on the basis of the control group.The anxiety and depression status,postoperative pain,rehabilitation effect and ankle function of the two groups were compared.Results After intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups decreased,and the observation group scores were lower than the control group(P<0.05).After the intervention,the visual analogue scale(VAS)score of the observation group was lower than the control group,and the time taken to get out of bed and staying in hospital were shorter than the control group,and the incidence of ankle swelling was lower than the control group(P<0.05).After intervention,the scores of the American orthopedic foot and ankle society score(AOFAS)in the observation group was higher than the control group(P<0.05).Conclusion Psychological nursing intervention can relieve anxiety and depression in patients with chronic ankle instability after surgery,reduce the degree of pain,and promote the recovery of patients.

关 键 词：心理护理干预 慢性踝关节不稳定 抑郁症 

分 类 号：R473.5[医药卫生—护理学]