手术室音乐心理放松联合损害控制在高龄髋部骨折手术患者中的应用  

Application of Operating Room Music Psychological Relaxation Combined with Damage Control in Advanced Age Hip Fracture Surgery Patients

作　　者：张宇坤 孙琳 ZHANG Yukun;SUN Lin(Yankuang New Journey General Hospital,Zoucheng 273500,China;不详)

机构地区：[1]兖矿新里程总医院,山东邹城273500

出　　处：《中外医学研究》2024年第19期80-84,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨手术室音乐心理放松联合损害控制在高龄髋部骨折手术患者中的应用。方法:选取2020年7月—2023年6月兖矿新里程总医院收治的100例高龄髋部骨折手术患者。根据随机数表法将其分为干预组(n=50)与对照组(n=50)。对照组给予常规手术室干预,干预组在对照组基础上给予手术室音乐心理放松联合损害控制。比较两组术前及术后1 d负性情绪,入室时、入室30 min后的心率(HR)、平均动脉压(MAP),术前及术后1周疼痛程度,并发症。结果:术后1 d,两组贝克焦虑量表(BAI)、贝克抑郁量表(BDI-Ⅱ)评分均降低,干预组BAI评分、BDI-Ⅱ评分均低于对照组,差异有统计学意义(P<0.05)。入室30 min后,两组HR、MAP均升高,干预组HR、MAP均低于对照组,差异有统计学意义(P<0.05)。术后1周,两组数字评分法(NRS)评分降低,干预组NRS评分低于对照组,差异有统计学意义(P<0.05)。干预组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:高龄髋部骨折手术患者给予手术室音乐心理放松联合损害控制,能够改善负性情绪,维持生命体征稳定,减轻疼痛程度,减少并发症。Objective:To explore the application of operating room music psychological relaxation combined with damage control in advanced age hip fracture surgery patients.Method:A total of 100 advanced age patients with hip fracture surgery admitted to Yankuang New Journey General Hospital from July 2020 to June 2023 were selected.They were divided into intervention group(n=50)and control group(n=50)according to random number table method.The control group was given routine intervention in operating room,and the intervention group was given operating room musical psychological relaxation combined with damage control on the basis of the control group.Negative emotion before surgery and 1 d after surgery,heart rate(HR)and mean arterial pressure(MAP)at the time of entering the room and after 30 min of entering the room,pain degree before and 1 week after surgery and complications were compared between the two groups.Result:At 1 d after surgery,the scores of Beck anxiety scale(BAI)and Beck depression scale(BDI-Ⅱ)in both groups were decreased,and the scores of BAI and BDI-Ⅱin the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).After 30 minutes of entering the room,HR and MAP were increased in both groups,and HR and MAP in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).At 1 week after surgery,the numerical rating system(NRS)score of the two groups decreased,and the NRS score of the intervention group was lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:In advanced age patients with hip fracture surgery,operating room musical psychological relaxation combined with damage control can improve negative emotions,maintain stable vital signs,reduce pain and reduce complications.

关 键 词：高龄患者 髋部骨折 手术室 音乐心理放松 损害控制 

分 类 号：R472.3[医药卫生—护理学]