分期情志护理对老年骨伤手术患者的干预效果观察OA
The Intervention Effect of Staged Emotional Nursing on Elderly Patients with Bone Injury Surgery
目的:观察分期情志护理对老年骨伤手术患者的临床干预效果.方法:选取 2021年 8 月-2023 年4 月我院收治的93 例老年骨伤患者为研究对象,依据中心随机系统分组法将其分为对照组与试验组,对照组 46 例,试验组 47 例.手术期间,对照组配合常规围手术期护理,试验组配合常规围手术期护理联合分期情志护理.比较 2 组心理应激情绪评分,睡眠质量评分,术后疼痛评分,肢体功能评分及护理评价.结果:术后 7、14 d,试验组心理应激情绪、睡眠质量评分均低于术后 1d,且试验组均低于对照组,差异有统计学意义(P<0.05).术后 14d、2 个月,试验组Harris髋关节功能量表、Lysholm膝关节功能量表、FMA-上肢评分均高于术后1d,且试验组均高于对照组,差异有统计学意义(P<0.05).结论:老年骨伤手术患者行分期情志护理可积极调节围手术期心理应激情绪表现,改善术后睡眠质量、缓解疼痛,为术后康复干预的积极实施提供临床基础,合理提高患者术后康复质量.
Objective:To observe the clinical intervention effect of staged emotional nursing on elderly patients with bone injury surgery.Methods:93 elderly patients with bone injuries admitted to our hospital from August 2021 to April 2023 were selected as the research objects.According to the central random system grouping method,they were divided into a reference group and an experimen-tal group,with 46 cases in the reference group and 47 cases in the experimental group.During the operation,the reference group was treated with routine perioperative nursing,and the experimental group was treated with routine perioperative nursing combined with staged emotional nursing.The psychological stress score,sleep quality score,postoperative pain score,limb function score and nursing evaluation were compared between the two groups.Results:7 and 14 d after operation,the psychological stress,mood,sleep quality scores of the experimental group were lower than those at 1 d after operation,and the scores of the experimental group were lower than those of the reference group,and the differences were statistically significant(P<0.05).The Harris Hip Function Scale,Lysholm Knee Function Scale,and FMA-upper limb scores of the trial group at 14 days and 2 months after operation were significantly higher than those at 1 day after operation,and those of the experimental group were significantly higher than those of the reference group(P<0.05).Conclusion:Staged emotional nursing in elderly patients with bone injury surgery can positively regulate perioperative psychological stress,improve postoperative sleep quality,relieve pain,provide a clinical basis for the active implementation of postoperative rehabilita-tion intervention,and reasonably optimize the quality of postoperative rehabilitation.
徐丽爽
南昌市人民医院,江西 南昌 330009
临床医学
分期情志护理老年骨伤患者手术治疗围手术期护理
Stage emotional nursingElderly patients with bone injuriesSurgical treatmentPerioperative nursing
《中国伤残医学》 2024 (006)
120-123 / 4
评论