CAJ | 학술논문

目的：探讨整体护理干预措施对骨科创伤手术患者焦虑心理的影响。方法经患者知情同意及医院伦理委员会批准，将84例骨科创伤手术患者按照入院时间的先后分为对照组和实验组，每组42例。对照组42例患者接受骨科创伤手术常规护理，实验组患者接受整体护理，比较2组患者护理干预前后状态-特质焦虑问卷（ SAI）和亚森失眠量表（ AIS）的评分情况。结果实验组患者护理干预后SAI评分明显下降（干预前：46．56±7．58，干预后：32．35±5．45），差异有统计学意义（P＜0.05）；对照组患者护理干预后SAI评分改变不明显，差异无统计学意义（P＞0．05）；护理干预后2组患者SAI评分差异有统计学意义（P＜0．05）。实验组患者治疗后与治疗前比较睡眠明显改善，差异有统计学意义（P＜0．01）。结论整体护理干预措施对骨科创伤手术患者焦虑心理明显有效，可消除患者的焦虑，明显改善患者睡眠情况，值得临床进一步推广应用。
목적：탐토정체호리간예조시대골과창상수술환자초필심리적영향。방법경환자지정동의급의원윤리위원회비준，장84례골과창상수술환자안조입원시간적선후분위대조조화실험조，매조42례。대조조42례환자접수골과창상수술상규호리，실험조환자접수정체호리，비교2조환자호리간예전후상태-특질초필문권（ SAI）화아삼실면량표（ AIS）적평분정황。결과실험조환자호리간예후SAI평분명현하강（간예전：46．56±7．58，간예후：32．35±5．45），차이유통계학의의（P＜0.05）；대조조환자호리간예후SAI평분개변불명현，차이무통계학의의（P＞0．05）；호리간예후2조환자SAI평분차이유통계학의의（P＜0．05）。실험조환자치료후여치료전비교수면명현개선，차이유통계학의의（P＜0．01）。결론정체호리간예조시대골과창상수술환자초필심리명현유효，가소제환자적초필，명현개선환자수면정황，치득림상진일보추엄응용。
Objective To investigate the effects of comprehensive nursing intervention on the anxiety of orthopedic trauma surgical patients .Methods In accordance with the chronological order of admission into the hospital , 84 orthopedic trauma surgical patients were randomly divided into 2 groups:the control group and the experimental group , each consisting of 42 patients.The 42 pa-tients in the control group received routine care after orthopedic trauma surgery , while the patients in the experimental group received comprehensive care.Then, effects of nursing were compared between patients of the 2 groups.Results SAI scores for the patients of the experimental group were significantly reduced after treatment , as compared with those before treatment , with statistical significance (P<0.05), while no significant differences could be seen in SAI scores for the patients of the control group (P<0.05).Conclusion Comprehensive nursing intervention had significant effects on the anxiety of orthopedic trauma surgical patients .It could eliminate the patients′anxiety, improve sleep, and was worth further clinical application .