CAJ | 학술논문

目的探讨信息支持对老年髋部骨折患者术前焦虑的影响.方法采用随机数字表法对入选的髋部骨折手术患者分为观察组(n=31)和对照组(n=30);两组均给予常规的术前宣教,观察组增加根据疾病的不确定感理论4个方面制定的信息支持内容;观察两组患者干预前和干预后的焦虑值(STAI)、心率(HR)、收缩压(SBP)及舒张压(DBP),并分别进行比较.结果观察组干预前后STAI、HR、SBP、DBP分别为(50.2±3.4)vs(38.5±3.0)分、(91.1±7.9)vs(75.3±8.2)次/min、(149.2±18.7)vs(126.9±12.8)mm Hg、(85.3±9.6)vs(73.7±7.1)mm Hg,干预前后差异均有统计学意义(P＜0.01);干预前观察组与对照组AV、HR、SBP及DBP比较均无统计学意义(P＞0.05);干预后观察组AV、HR、SBP及DBP均低于对照组(P＜0.01,P＜0.05).结论以疾病的不确定感理论为依据制订信息支持内容降低老年髋部骨折患者术前焦虑的效果优于常规方法 .
목적 탐토신식지지대노년관부골절환자술전초필적영향.방법 채용수궤수자표법대입선적관부골절수술환자분위관찰조(n=31)화대조조(n=30);량조균급여상규적술전선교,관찰조증가근거질병적불학정감이론4개방면제정적신식지지내용;관찰량조환자간예전화간예후적초필치(STAI)、심솔(HR)、수축압(SBP)급서장압(DBP),병분별진행비교.결과 관찰조간예전후STAI、HR、SBP、DBP분별위(50.2±3.4)vs(38.5±3.0)분、(91.1±7.9)vs(75.3±8.2)차/min、(149.2±18.7)vs(126.9±12.8)mm Hg、(85.3±9.6)vs(73.7±7.1)mm Hg,간예전후차이균유통계학의의(P＜0.01);간예전관찰조여대조조AV、HR、SBP급DBP비교균무통계학의의(P＞0.05);간예후관찰조AV、HR、SBP급DBP균저우대조조(P＜0.01,P＜0.05).결론 이질병적불학정감이론위의거제정신식지지내용강저노년관부골절환자술전초필적효과우우상규방법 .
Objective To explore the effect of information support on preoperative anxiety in old patients with fracture of hip. Methods The patients with fracture of hip were randomly divided into observation group (n =31 ) and control group (n =30). Two groups all received routine preoperative health education. But the patients in observation group received supernumerary information needs based on the theories of illness uncertainty. Anxiety value ( AV), heart rate ( HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) in two groups were compared both before and after intervention. Results AV, HR, SBP and DBP before and after intervention in observation group were respectively ( 50.2 ± 3.4 ) vs ( 38.5 ± 3.0), ( 91.1 ±7.9) vs (75.3 ±8.2)bpm, (149.2 ±18.7) vs (126.9 ±12.8)mm Hg and (85.3 ±9.6) vs (73.7 ±7.1)mm Hg (P ＜ 0. 001 ). AV, HR, SBP and DBP before and after intervention in control group were respectively (50.8 ±3.3) vs (46.9 ±2.5), (90.5 ±9.4) vs (85.4 ± 11.7)bpm, (141.6 ± 14.6) vs (135.9 ± 13.3)mmHg, (81.8±9.3) vs (78.8 ±9.3)mm Hg (P＜0. 001,P＜0. 01,P＜0. 05). AV, HR, SBP and DBP before intervention in two groups were not statistically significant (P ＞ 0. 05) and AV, HR, SBP and DBP after intervention in observation group was lower than that of control group ( P ＜ 0. 01, P ＜ 0. 05 ). Conclusions Information support based on the theory of illness uncertainty can reduce preoperative anxiety in old patients with fracture of hip and the result is better than that of routine method.