基于自我效能干预的心理护理对四肢创伤性骨折患者焦虑心理的影响效果分析  

Effect analysis of psychological nursing based on self-efficacy intervention on anxiety in patients with traumatic fracture of limbs

作　　者：吴丽娜 马彦 踪艳秋 WU Lina;MA Yan;ZONG Yanqiu(Department of Infection Management,The Third Affiliated Hospital of Xuzhou Medical University,Xuzhou 221003,China;Orthopedics,The Third Affiliated Hospital of Xuzhou Medical University,Xuzhou 221003,China;Imaging Department,The Third Affiliated Hospital of Xuzhou Medical University,Xuzhou 221003,China)

机构地区：[1]徐州医科大学附属第三医院感染管理科,江苏徐州221003 [2]徐州医科大学附属第三医院骨科,江苏徐州221003 [3]徐州医科大学附属第三医院影像科,江苏徐州221003

出　　处：《心理月刊》2025年第4期155-157,160,共4页

摘　　要：目的分析基于自我效能干预的心理护理对四肢创伤性骨折患者中的应用效果。方法选择2021.10~2022.10于本院就诊的四肢创伤性骨折患者共计60例。红蓝信封法分设组别,参比组(常规护理,n=30),分析组(基于自我效能干预的心理护理,n=30)。比较两组心理弹性量表(CD-RISC)评分、自我效能(GSES)评分及干预后关节活动度量表(ROM)、视觉疼痛模拟量表(VAS)、日常生活活动能力量表(ADL)、肢体肿胀情况。结果护理前两组心理弹性水平比较差异不显著(P>0.05);护理后分析组心理弹性水平(乐观、自强、坚韧)评分均较参比组高,并且参数差异成立(P<0.05)。护理前两组自我效能水平比较差异不显著(P>0.05);护理后分析组自我效能评分较参比组高,并且参数差异成立(P<0.05)。护理前两组肿胀级别、VAS、ADL评分、ROM角度比较差异不显著(P>0.05);护理后分析组肢体肿胀级别、VAS较参比组低,ADL评分高于参比组ROM角度大于参比组,并且参数差异成立(P<0.05)。结论针对四肢创伤性骨折患者,应用基于自我效能干预的心理护理支持,一方面可提升其心理弹性及自我效能水平,还可减轻治疗后肢体肿胀及疼痛情况,提升日常生活能力。Objective To analyze the application effect of psychological nursing based on self-efficacy intervention in patients with traumatic fracture of limbs.Methods A total of 60 patients with traumatic fracture of limbs in our hospital from October 2021 to October 2022 were selected.The red and blue envelope method was divided into group,reference group(routine nursing,n=30)and analysis group(psychological nursing based on self-efficacy intervention,n=30).The score of Connor-Davidson resilience scale(CD-RISC),general self-efficacy scale(GSES),range of motion(ROM),visual analogue scale(VAS),activity of daily living scale(ADL)and limb swelling were compared between the two groups.Results There was no significant difference in the level of mental elasticity between the two groups before nursing(P>0.05).The scores of resilience(optimism,self-reliance,tenacity)in the post-nursing analysis group were higher than those in the reference group,and the differences were established(P<0.05).There was no significant difference in self-efficacy between the two groups before nursing(P>0.05).After nursing,the self-efficacy score of the analysis group was higher than that of the reference group,and the parameter difference was established(P<0.05).There were no significant differences in swelling level,VAS,ADL score and ROM Angle between the two groups before nursing(P>0.05).After nursing,the limb swelling level and VAS of the analysis group were lower than those of the reference group,and the ADL score was higher than that of the reference group,and the ROM Angle was greater than that of the reference group,and the parameter differences were established(P<0.05).Conclusion For patients with traumatic fracture of limbs,the application of psychological nursing support based on self-efficacy intervention can not only improve their resilience and self-efficacy level,but also reduce the swelling and pain of limbs after treatment,and improve their daily living ability.

关 键 词：自我效能 基于自我效能干预的心理护理 肢体活动 四肢创伤性骨折 心理弹性 

分 类 号：R47[医药卫生—护理学]