情志干预模式应用于老年骨折手术患者的效果及对应激反应与焦虑抑郁情绪的影响探讨

The effect of emotional intervention mode on elderly patients with fracture surgery and its influence on stress response and anxiety and depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

新乡市中心医院护理部 ;

摘要
探讨老年骨折手术患者应用情志干预模式后,应激反应及焦虑抑郁负性情绪的变化。方法 采用随机数字表法将我院93例老年骨折行手术治疗患者分组,对照组46例给予常规围术期干预,观察组47例联合情志干预,对比两组患者手术时间、术中配合度、生理应激指标水平变化、睡眠质量、焦虑抑郁情绪及术后不良事件发生率。结果 观察组术中配合度评分高于对照组,手术时间、NE、Cor、E水平、PSQI、SDS、SAS评分及不良事件发生率均低于对照组(P<0.05)。结论 情志干预模式能够有效调节老年骨折手术患者生理应激反应,改善焦虑抑郁情绪及睡眠质量,手术用时短,患者治疗依从性高,术后并发症少。
Abstract
Objective To investigate the changes of stress response and anxiety and depression negative emotions in elderly patients undergoing fracture surgery. Methods A total of 93 patients with senile fractures in our hospital were enrolled in this study. A total of 46 patients in the control group received routine perioperative intervention. 47 patients in the observation group were treated with emotional intervention. The operation time and intraoperative cooperation were compared between the two groups. The level of physiological stress indicators, sleep quality, anxiety and depression, and the incidence of postoperative adverse events. Results In the observation group, the intraoperative fitness score was higher than that of the control group. The operation time, NE, Cor, E level, PSQI, SDS, SAS score and adverse event rate were lower than the control group (P<0.05). Conclusion The emotional intervention model can effectively regulate the physiological stress response in elderly patients with fracture surgery, improve anxiety and depression and sleep quality. The operation time is short, the patient has high treatment compliance and less postoperative complications.
关键词
情志干预;老年骨折;手术;应激反应;焦虑;抑郁
KeyWord
emotional intervention; senile fracture; surgery; stress response; anxiety; depression
基金项目
页码 954-957
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张永梅*. 情志干预模式应用于老年骨折手术患者的效果及对应激反应与焦虑抑郁情绪的影响探讨 [J]. 国际精神病学杂志. 2019; 46; (5). 954 - 957.

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