中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
82-84
,共3页
骨折%护理干预%焦虑%抑郁%手术
骨摺%護理榦預%焦慮%抑鬱%手術
골절%호리간예%초필%억욱%수술
Fracture%Nursing intervention%Anxiety%Depression%Operation
目的：观察并分析骨折手术患者实施护理干预的临床效果。方法：选取本院2013年收治的64例骨折患者作为研究对象，按照随机数字表法将其分为对照组和干预组各32例。对照组采取常规护理，如协助患者进行术前检查及其他针对性治疗等。干预组在常规护理的基础上采取护理干预，如心理护理等。采用抑郁自评量表（SDS）和焦虑自评量表（SAS）评价两组患者术前、术后抑郁和焦虑改善情况，同时采用生活质量综合评定问卷（GQOLI-74）评价和比较两组患者的生活质量。结果：两组护理前的抑郁和焦虑评分比较差异均无统计学意义（P>0.05）。护理干预后，干预组的抑郁和焦虑评分分别为（37.23±6.30）分、（36.51±5.24）分，均明显低于对照组的（47.25±6.39）分、（47.67±8.31）分，差异均有统计学意义（P<0.05）。两组护理前生活质量评分的比较差异无统计学意义（P>0.05），两组护理后的生活质量评分均明显升高，且干预组的生活质量评分明显高于对照组，差异均有统计学意义（P<0.05）。结论：骨折手术患者实施心理护理等护理干预能够有效改善患者抑郁和焦虑状态，同时提高患者生命质量，值得在临床上推广。
目的：觀察併分析骨摺手術患者實施護理榦預的臨床效果。方法：選取本院2013年收治的64例骨摺患者作為研究對象，按照隨機數字錶法將其分為對照組和榦預組各32例。對照組採取常規護理，如協助患者進行術前檢查及其他針對性治療等。榦預組在常規護理的基礎上採取護理榦預，如心理護理等。採用抑鬱自評量錶（SDS）和焦慮自評量錶（SAS）評價兩組患者術前、術後抑鬱和焦慮改善情況，同時採用生活質量綜閤評定問捲（GQOLI-74）評價和比較兩組患者的生活質量。結果：兩組護理前的抑鬱和焦慮評分比較差異均無統計學意義（P>0.05）。護理榦預後，榦預組的抑鬱和焦慮評分分彆為（37.23±6.30）分、（36.51±5.24）分，均明顯低于對照組的（47.25±6.39）分、（47.67±8.31）分，差異均有統計學意義（P<0.05）。兩組護理前生活質量評分的比較差異無統計學意義（P>0.05），兩組護理後的生活質量評分均明顯升高，且榦預組的生活質量評分明顯高于對照組，差異均有統計學意義（P<0.05）。結論：骨摺手術患者實施心理護理等護理榦預能夠有效改善患者抑鬱和焦慮狀態，同時提高患者生命質量，值得在臨床上推廣。
목적：관찰병분석골절수술환자실시호리간예적림상효과。방법：선취본원2013년수치적64례골절환자작위연구대상，안조수궤수자표법장기분위대조조화간예조각32례。대조조채취상규호리，여협조환자진행술전검사급기타침대성치료등。간예조재상규호리적기출상채취호리간예，여심리호리등。채용억욱자평량표（SDS）화초필자평량표（SAS）평개량조환자술전、술후억욱화초필개선정황，동시채용생활질량종합평정문권（GQOLI-74）평개화비교량조환자적생활질량。결과：량조호리전적억욱화초필평분비교차이균무통계학의의（P>0.05）。호리간예후，간예조적억욱화초필평분분별위（37.23±6.30）분、（36.51±5.24）분，균명현저우대조조적（47.25±6.39）분、（47.67±8.31）분，차이균유통계학의의（P<0.05）。량조호리전생활질량평분적비교차이무통계학의의（P>0.05），량조호리후적생활질량평분균명현승고，차간예조적생활질량평분명현고우대조조，차이균유통계학의의（P<0.05）。결론：골절수술환자실시심리호리등호리간예능구유효개선환자억욱화초필상태，동시제고환자생명질량，치득재림상상추엄。
To observe and analyze the clinical effect of fractures patients with the implementation of nursing intervention.Method:64 fracture patients in our hospital in 2013 were selected as research objects,they were randomly divided into the control group and the intervention group according to the random number table method, 32 cases in each group.The control group was given routine nursing care,such as assisting patients with preoperative examination and other targeted therapy,etc.The observation group was given nursing intervention on the basis of routine nursing,such as psychological nursing,etc.The improvement of depression and anxiety in two groups with preoperative and postoperative were evaluated using self-reported depression scale(SDS)and anxiety self rating scale(SAS),at the same time the quality of life between the two groups were evaluated and compared using life quality comprehensive evaluation questionnaire(GQOLI-74).Result:There was no statistically significant difference in the depression and anxiety score before implementing nursing(P>0.05).After nursing intervention,the depression and anxiety score in observation group,respectively(37.23±6.30)score,(36.51±5.24)score,they were significantly lower than (47.25±6.39)score,(47.67±8.31)score in control group,the differences were statistically significant(P<0.05). There was no statistically significant difference in the quality of life before implementing nursing(P>0.05),After nursing intervention,the quality of life scores in two groups were significantly increased after nursing,but the quality of life score in observation group was significantly higher than the control group,the differences were statistically significant(P<0.05). Conclusion:Fracture patients with the implementation of psychological nursing intervention can improve the depression and anxiety,at the same time,improve the quality of life of patients,is worthy of clinical application.
