【摘要】 目的 观察激励式心理护理对老年下肢骨折患者的影响。方法 研究时段为2022年1月～2023年11月，研究对象为上述时段本院收治的62例老年下肢骨折手术患者，依据为随机信封原则，分为观察组、对照组，各31例。对照组实施传统模式护理，观察组实施传统模式联合激励式心理护理。比较两组干预前后心理弹性、生活质量、疼痛程度、自我负担感、自护能力，并对护理满意度的组间差异进行分析。正态计量资料采用t检验，计数资料采用x~2检验。结果 与对照组相比，干预后心理弹性各维度评分，观察组均显著更高（P<0.05）；与对照组相比，干预后生活质量各维度评分，观察组均显著更高（P<0.05）；与对照组相比，干预后观察组疼痛评分、自我感受负担评分均显著更低（P<0.05）；自我概念、健康知识、自护技能等评分，观察组均显著更高（P<0.05）；观察组护理满意度较对照组显著更高（P<0.05）。结论 激励式心理护理在老年下肢骨折患者中的应用效果显著，可有效减轻患者躯体疼痛程度、自我负担感，改善患者心理弹性状态、生活质量，提升其自护能力及护理满意度。更多还原

【Abstract】 Objective To observe the effect of incentive psychological nursing on elderly patients with lower limb fracture. Methods The study period was from January 2022 to November 2023. The study subjects were 62 elderly patients with lower limb fracture surgery admitted to our hospital during the above period. According to the principle of random envelope, they were divided into the observation group and the control group, with 31 cases each. The control group received traditional mode nursing, and the observation group received traditional mode combined with incentive psychological nursing. The psychological resilience, quality of life, pain degree, self-burden and self-care ability of the two groups were compared before and after intervention, and the differences in nursing satisfaction between the two groups were analyzed. T test was used for normal measurement data and x2 test was used for counting data. Results Compared with the control group, the scores of all dimensions of psychological resilience after intervention were significantly higher in the observation group(P<0.05). Compared with the control group, the scores of all dimensions of quality of life after intervention were significantly higher in the observation group(P<0.05). Compared with the control group, the pain score and self-perceived burden score of the observation group were significantly lower after intervention(P<0.05). The scores of self-concept, health knowledge and selfcare skills were significantly higher in the observation group(P<0.05). The nursing satisfaction of observation group was significantly higher than that of control group(P<0.05). Conclusion The application of incentive psychological nursing in elderly patients with lower limb fracture has significant effects, which can effectively reduce the degree of physical pain and self-burden of patients, improve the psychological resilience and quality of life of patients, and enhance their self-care ability and nursing satisfaction.更多还原