医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
5期
958-959,963
,共3页
胡敏娟%胡志辉%谢维
鬍敏娟%鬍誌輝%謝維
호민연%호지휘%사유
心理护理%医院,骨科%手术后并发症%精神障碍
心理護理%醫院,骨科%手術後併髮癥%精神障礙
심리호리%의원,골과%수술후병발증%정신장애
PSYCHOLOGICAL NURSING%Hospitals,Osteopathic%Postoperative Complica-tions%Mental Disorders
【目的】探讨心理护理干预措施在骨科老年患者术后精神障碍中的实施效果。【方法】将择期手术的60例骨科老年患者按前后时间段分为对照组和观察组各30例，对照组给予骨科围术期常规护理，观察组在常规护理的基础上给予针对精神障碍的心理护理干预，比较两组患者术前与术后7 d抑郁自评量表（SDS）和焦虑自评量表（SAS）评分及抑郁、焦虑发生率。【结果】观察组术后7 d患者 SDS、SAS评分较干预前及对照组显著下降（P＜0．05），抑郁、焦虑发生率分别为10．00％（3/30）与16．67％（5/30），显著低于对照组的30．00％（9/30）与40．00％（12/30），差异均有统计学意义（P＜0．05）。【结论】对骨科老年患者实施有针对性的心理护理干预，对预防和减少术后抑郁、焦虑的发生具有重要的应用价值。
【目的】探討心理護理榦預措施在骨科老年患者術後精神障礙中的實施效果。【方法】將擇期手術的60例骨科老年患者按前後時間段分為對照組和觀察組各30例，對照組給予骨科圍術期常規護理，觀察組在常規護理的基礎上給予針對精神障礙的心理護理榦預，比較兩組患者術前與術後7 d抑鬱自評量錶（SDS）和焦慮自評量錶（SAS）評分及抑鬱、焦慮髮生率。【結果】觀察組術後7 d患者 SDS、SAS評分較榦預前及對照組顯著下降（P＜0．05），抑鬱、焦慮髮生率分彆為10．00％（3/30）與16．67％（5/30），顯著低于對照組的30．00％（9/30）與40．00％（12/30），差異均有統計學意義（P＜0．05）。【結論】對骨科老年患者實施有針對性的心理護理榦預，對預防和減少術後抑鬱、焦慮的髮生具有重要的應用價值。
【목적】탐토심리호리간예조시재골과노년환자술후정신장애중적실시효과。【방법】장택기수술적60례골과노년환자안전후시간단분위대조조화관찰조각30례，대조조급여골과위술기상규호리，관찰조재상규호리적기출상급여침대정신장애적심리호리간예，비교량조환자술전여술후7 d억욱자평량표（SDS）화초필자평량표（SAS）평분급억욱、초필발생솔。【결과】관찰조술후7 d환자 SDS、SAS평분교간예전급대조조현저하강（P＜0．05），억욱、초필발생솔분별위10．00％（3/30）여16．67％（5/30），현저저우대조조적30．00％（9/30）여40．00％（12/30），차이균유통계학의의（P＜0．05）。【결론】대골과노년환자실시유침대성적심리호리간예，대예방화감소술후억욱、초필적발생구유중요적응용개치。
[Objective]To explore the implementation efficacy of comprehensive nursing intervention for mental disorder in elderly patients after orthopedic operation.[Methods]Totally 60 elderly patients scheduled for selective operation in orthopedics department were randomly divided into observation group and control group with 30 patients in each group.The control group was given conventional nursing care in perioperative period of orthopedics,while the observation group was given psychological nursing intervention for mental dis-orders on the basis of routine care.Self-rating depression scale(SDS),self-rating anxiety scale(SAS)score and the incidence of depression and anxiety incidence before and 7d after surgery were compared between two groups.[Results]Compared with control group,SDS and SAS scores in observation group 7d after operation were decreased significantly(P<0.05).The incidence rate of depression and anxiety incidence in observation group was 10.00%(3/30)and 16.67%(5/30)respectively,which was markedly lower than that in control group[30%(9/30)and 40%(12/30)],and there was significant difference(P<0.05).[Conclusion]Imple-mentation of psychological nursing intervention for elderly patients in orthopedics department has important application value for preventing and reducing the incidence of postoperative depression and anxiety.
