CAJ | 학술논문

目的：对骨折患者实施护理干预，观察和分析其对患者术后焦虑和抑郁状态的影响.方法选取64例骨折患者，按照患者就诊顺序分为对照组和干预组.对照组：实施常规检查及其他针对性治疗等.干预组：在常规护理基础上实施护理干预.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生活质量.结果术前，观察组抑郁和焦虑评分分别为(58.21±8.16)分、(57.30±8.27)分，对照组为(58.36±8.09)分、(56.98±8.31)分，两组比较P>0.05.护理干预后，观察组抑郁和焦虑评分分别为(37.23±6.30)分、(36.51±5.24)分，对照组(47.25±6.39)分、(47.67±8.31)分，两组比较P<0.05.护理干预后，两组患者生活质量评分均得到明显提高，但干预组优于对照组(P<0.05).结论对骨折患者实施心理护理等护理干预后，可有效地改善患者抑郁和焦虑状态，同时提高患者生活质量.
목적：대골절환자실시호리간예，관찰화분석기대환자술후초필화억욱상태적영향.방법선취64례골절환자，안조환자취진순서분위대조조화간예조.대조조：실시상규검사급기타침대성치료등.간예조：재상규호리기출상실시호리간예.채용억욱자평량표( SDS)화초필자평량표( SAS)평개량조환자술전、술후억욱화초필개선정황，동시채용생활질량종합평정문권( GQOLI-74)평개화비교량조환자생활질량.결과술전，관찰조억욱화초필평분분별위(58.21±8.16)분、(57.30±8.27)분，대조조위(58.36±8.09)분、(56.98±8.31)분，량조비교P>0.05.호리간예후，관찰조억욱화초필평분분별위(37.23±6.30)분、(36.51±5.24)분，대조조(47.25±6.39)분、(47.67±8.31)분，량조비교P<0.05.호리간예후，량조환자생활질량평분균득도명현제고，단간예조우우대조조(P<0.05).결론대골절환자실시심리호리등호리간예후，가유효지개선환자억욱화초필상태，동시제고환자생활질량.
Objective To implement nursing intervention in patients with fracture, to observe and analyze the impact on patients with postoperative anxiety and depression state. Method 64 patients with fracture were selected and divided into control group and intervention group. Control group:implementation of routine and other targeted therapy, etc. Intervention group:implementation of nursing intervention on the basis of conventional nursing,such as psychological nursing. The preoperative and postoperative patients with depression and anxiety of two groups were evaluated by using self-reported depression scale(SDS) and anxiety self rating scale(SAS),at the same time,the quality of life in two groups was evaluated and compared by using life quality comprehensive evaluation questionnaire ( GQOLI-74 ) . Results The anxiety and depression scores in observation group were (58. 21±8. 16),(57. 30±8. 27) respectively and the control group(58. 36±8. 09),(56. 98±8. 31),comparison of two groups was P>0. 05. After nursing intervention,the anxiety and depression scores in observation group were (37. 23±6. 30),(36. 51±5. 24) respectively and the control group(47. 25±6. 39),(47. 67±8. 31),comparison of two groups was(P<0. 05). After nursing intervention,the scores of life quality in two groups were improved obviously,but the intervention group is better than control group(P<0. 05). Conclusion Fractures in patients with psychological nursing and other nursing intervention can effectively improve depression and anxiety state of patients,at the same time improve life quality of patients.