CAJ | 학술논문

目的：探讨早期心理护理干预对创伤骨科患者焦虑、失眠等负性情绪的作用。方法将2013年2月至2015年2月收治的202例创伤骨科患者随机分为观察组和对照组，每组101例，对照组给予骨科创伤常规护理，观察组在常规护理基础上给予早期心理护理干预，分别于入院第1天及术后1周后对两组患者进行SAS、AIS测评，并对两组患者焦虑、失眠程度进行比较。结果心理干预前两组SAS、AIS评分比较差异均未见统计学意义(P>0.05)，术后1周两组SAS、AIS评分情况均较前改善，观察组SAS、AIS评分改善幅度明显优于对照组，差异均有统计学意义(P<0.05)。结论早期心理护理干预可有效缓解创伤骨科患者焦虑、失眠等负性情绪，有助于提高治疗效果，促进患者康复。
목적：탐토조기심리호리간예대창상골과환자초필、실면등부성정서적작용。방법장2013년2월지2015년2월수치적202례창상골과환자수궤분위관찰조화대조조，매조101례，대조조급여골과창상상규호리，관찰조재상규호리기출상급여조기심리호리간예，분별우입원제1천급술후1주후대량조환자진행SAS、AIS측평，병대량조환자초필、실면정도진행비교。결과심리간예전량조SAS、AIS평분비교차이균미견통계학의의(P>0.05)，술후1주량조SAS、AIS평분정황균교전개선，관찰조SAS、AIS평분개선폭도명현우우대조조，차이균유통계학의의(P<0.05)。결론조기심리호리간예가유효완해창상골과환자초필、실면등부성정서，유조우제고치료효과，촉진환자강복。
Objective To investigate the effect of early psychological nursing intervention on anxiety, insomnia and other negative emotion of patients in traumatic orthopedics. Methods Randomly divided the 202 patients in traumatic orthopedics who treated in our hospital from February 2013 to February 2015 into observation group and control group, for each group with 101 patients. The patients in control group were treated with the routine nursing and the patients in obser-vation group plus the early psychological nursing intervention, the patients SAS and AIS scores were evaluated and their anxiety and insomnia degree were compared one day after treated in our hospital and one week after operation respectively. Results The SAS and AIS scores of the patients in the two groups had no significant difference before the psychological in-tervention(P<0. 05). One week after the operation, the patients’ SAS and AIS scores all superior to that before the opera-tion. The SAS and AIS scores of the patients in observation group were obviously superior to that in control group, and there was significant difference between the two groups(P<0. 05). Conclusions The early psychological intervention can val-idly relieve the anxiety, insomnia and other negative emotion of the patients in traumatic orthopedics, it is help to enhance the patients’ therapeutic effect and promote their recovery.