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护理干预对骨折患者术后抑郁和焦虑状态的影响

Impact of Nursing Intervention on Postoperative Anxiety and Depression State of Patients with Fractures

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【作者】 李增新徐杰

【Author】 Li Zengxin;Xu Jie;Affiliated Hospital of Beihua University;Campus Hospital of Beihua University;

【机构】 北华大学附属医院北华大学校医院

【摘要】 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.

【Abstract】 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.

【关键词】 骨折护理干预焦虑抑郁
【Key words】 fracturenursing interventionanxietydepression
  • 【文献出处】 北华大学学报(自然科学版) ,Journal of Beihua University(Natural Science) , 编辑部邮箱 ,2014年05期
  • 【分类号】R473.6
  • 【被引频次】8
  • 【下载频次】46
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