正强化理论护理干预对上肢骨折患者围手术期负性情绪及生活质量的影响OA
Effect of Positive Reinforcement Theoretical Nursing Intervention on Perioperative Negative Emotion and Quality of Life in Patients with Upper Limb Fracture
目的:探讨正强化理论护理干预对上肢骨折患者围手术期负性情绪及生活质量的影响.方法:选取 2021年 1月—2022年 11月本院收治的 72例上肢骨折患者为研究对象,其中 2021年 1月—2021年 12月的 36例患者为对照组,2022年 1月—2022 年 11月的 36例患者为观察组,对照组采用常规护理,观察组采用正强化理论护理干预,调查与记录患者负性情绪及生活质量评分的变化情况.结果:2组术后 10 d的焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分均低于术前 1 d,且观察组低于对照组,差异有统计学意义(P<0.05).2组术后 10 d的健康状况调查简表评分均高于术前1 d,且观察组高于对照组,差异有统计学意义(P<0.05).观察组术后 3个月的骨折不愈合、关节僵硬、切口感染、上肢肌肉萎缩等并发症发生率为2.78%,低于对照组的16.67%,差异有统计学意义(P<0.05).观察组术后3个月的腕关节功能优良率为97.22%,高于对照组的 83.33%,差异有统计学意义(P<0.05).结论:正强化理论护理干预可有效缓解上肢骨折患者负性情绪,提高其生活质量,降低并发症发生率,促进腕关节功能恢复.
Objective:To explore the effect of positive reinforcement theory nursing intervention on perioperative negative emotions and quality of life in patients with upper limb fracture.Methods:72 patients with upper limb fractures admitted to our hospital from January 2021 to November 2022 were selected as the research objects,of which 36 cases from January 2021 to December 2021 were set as the control group,and 36 cases from January 2022 to November 2022 were set as the observation group.The control group was given routine nursing,and the observation group was given positive reinforcement theoretical nursing intervention.The changes of negative emotions and quality of life scores of patients were investigated and recorded.Results:The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores of the two groups 10 days after operation were lower than those 1 day before operation,and those of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).The the MOS item short from health survey score of the two groups 10 days after operation was higher than that 1 day before operation,and that of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications such as fracture nonunion,joint stiffness,incision infection and upper limb muscle atrophy in the observation group was 2.78%,which was lower than 16.67%in the control group,and the difference was statistically significant(P<0.05).The excellent and good rate of wrist joint function in the observation group was 97.22%,which was higher than 83.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Positive reinforcement theory nursing intervention can effectively alleviate the negative emotions of patients with upper limb fractures,improve their quality of life,reduce the incidence of complications,and promote the recovery of wrist joint function.
李亭
天津市北辰区中医医院,天津 300400
临床医学
正强化理论护理干预上肢骨折负性情绪生活质量腕关节功能
Positive reinforcement theoretical nursing interventionFracture of upper limbNegative emotionsQuality of lifeWrist joint function
《中国伤残医学》 2024 (008)
154-156,160 / 4
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