CAJ | 학술논문

目的：探讨知信行干预对骨科疾病患者感染率和心理的影响。方法2011年2月～2014年3月间我院共收治骨科疾病患者83例，并随机分为对照组(n=41例)和观察组(n=42例)。对照组给予常规护理干预，观察组在对照组基础上，给予知信行干预模式。对比两组的感染率、焦虑和抑郁情况。结果对照组、观察组的感染率分别为19.5%、2.4%，观察组显著低于对照组(X2=4.651，P=0.031)。与干预前相比，干预后两组的HAMA评分显著降低(tHAMA=5.020，P=0.000；tHAMA=18.220， P=0.000)；干预后，观察组的HAMA评分显著低于对照组(tHAMA=12.866， P=0.000)。与干预前相比，干预后两组的HAMD评分显著降低(tHAMD=4.072， P=0.000；tHAMD=18.683，P=0.000)；干预后，观察组的HAMD评分显著低于对照组(tHAMD=15.992，P=0.000)。结论知信行干预能够显著地降低骨科疾病患者的感染率，缓解心理压力，降低焦虑和抑郁心理。
목적：탐토지신행간예대골과질병환자감염솔화심리적영향。방법2011년2월～2014년3월간아원공수치골과질병환자83례，병수궤분위대조조(n=41례)화관찰조(n=42례)。대조조급여상규호리간예，관찰조재대조조기출상，급여지신행간예모식。대비량조적감염솔、초필화억욱정황。결과대조조、관찰조적감염솔분별위19.5%、2.4%，관찰조현저저우대조조(X2=4.651，P=0.031)。여간예전상비，간예후량조적HAMA평분현저강저(tHAMA=5.020，P=0.000；tHAMA=18.220， P=0.000)；간예후，관찰조적HAMA평분현저저우대조조(tHAMA=12.866， P=0.000)。여간예전상비，간예후량조적HAMD평분현저강저(tHAMD=4.072， P=0.000；tHAMD=18.683，P=0.000)；간예후，관찰조적HAMD평분현저저우대조조(tHAMD=15.992，P=0.000)。결론지신행간예능구현저지강저골과질병환자적감염솔，완해심리압력，강저초필화억욱심리。
Objective To investigate effect of KAP intervention on infection rate and mentality of orthopedics department patients. Methods A total of 83 cases from 2011 February to 2014 March in our hospital were treated in Department of orthopedics,and were randomly divided into control group(n=41 cases) and observation group(n=42 cases).The control group was given routine nursing intervention,while the observation group was on the basis of control group and was given KAP intervention model. Infection rate,anxiety and depression of two groups was compared.Results Infection rates of the control group and the observation group were 19.5% and 2.4% respectively, and the observation group was significantly lower than the control group(X2=4.651,P=0.031). Comparing with pre-intervention,HAMA scores of post-intervention of the two groups decreased significantly(tHAMA=5.020, P=0.000;tHAMA=18.220,P=0.000). After intervention, HAMA scores of observation group was lower than that of control group(tHAMA=12.866, <br> P=0.000). Comparing with pre-intervention,HAMD scores of post-intervention of the two groups decreased significantly(tHAMD=4.072, P=0.000;tHAMD=18.683,P=0.000). After intervention, HAMA scores of observation group was lower than that of control group(tHAMD=15.992, P=0.000).Conclusion KAP intervention can significantly reduce the infection rate of orthopedics department patients, alleviate psychological pressure, and reduce anxiety and depression.