心理护理路径对老年股骨骨折内固定治疗患者围术期疼痛、负性情绪及术后康复的影响
Effect of psychological nursing pathway on perioperative pain, negative emotion and postoperative rehabilitation of elderly patients with femoral fracture treated by internal fixation
ES评分 0
| DOI |
| 刊名 |
Journal of International Psychiatry
|
| 年，卷(期) |
2019, 46(2) |
| 作者 |
|
| 作者单位 |
哈尔滨医科大学附属第一医院 ;
哈尔滨医科大学附属第一医院 ;
|
| 摘要 |
摘要 研究心理护理路径对老年股骨骨折内固定治疗患者围手术期疼痛、负性情绪以及术后康复的影响。方法 选取我院在2014年1月至2017年1月期间收治的208例老年股骨骨折患者，将患者随机分成两组（每组104例），对照组患者采用常规护理模式，观察组患者采用心理护理路径模式，观察两组患者在不同护理模式下围手术期疼痛、负性情绪以及术后康复情况。结果 两组患者在入院时以及手术当天VAS疼痛评分比较无差异（P>0.05），治疗后第1天到第5天，观察组患者VAS疼痛评分结果明显低于对照组（P<0.05），出院时两组患者VAS疼痛评分结果比较无差异（P>0.05）；干预前两组患者SDS与SAS评分结果比较无差异（P>0.05），干预后观察组患者SDS与SAS评分结果显著低于对照组（P<0.05）；观察组患者3个月后髋关节功能恢复情况的优良率明显高于对照组（P<0.05），观察组患者并发症发生情况明显少对照组（P<0.05），首次功能锻炼时间以及首次下床活动时间明显低于对照组（P<0.05）；观察组患者护理满意度明显高于对照组（P<0.05）。结论 心理护理路径能加快老年股骨骨折内固定治疗患者髋关节的康复，缓解患者围手术期疼痛感，提高临床护理满意度，减少并发症的发生，可在临床上推广使用。
|
| Abstract |
Abstract Objective: To investigate the effect of psychological nursing pathway on perioperative pain, negative emotion and postoperative rehabilitation of elderly patients with femoral fracture treated by internal fixation. Methods: 208 elderly patients with femoral fractures in our hospital from January 2014 to January 2017 were selected and randomly divided into two groups with 104 cases in each group. The control group were given with conventional nursing mode and the observation group given with psychological nursing pathway. The perioperative pain, negative emotional and postoperative recovery in two groups of patients underwent different nursing modes were observed and compared. Results: The VAS pain scores at admission time and the day of surgery were no significant difference between two groups(P>0.05). From the first day to the fifth days after treatment, the VAS pain scores in the observation group were significantly lower than that of the control group (P<0.05). The VAS pain score was no significant difference between the two groups at discharge (P>0.05). The SDS and SAS scores were no significant difference between the two groups before intervention(P>0.05). After the intervention, the SDS and SAS scores in the observation group were significantly lower than that in the control group (P<0.05). The excellent rate of hip function recovery after 3 months in the observation group was significantly higher than that in the control group (P<0.05). The incidence of complications in observation group was significantly less than that in control group (P<0.05) and the first time of functional exercise and ambulation time were significantly lower than that in the control group (P<0.05). The satisfaction degree of the observation group was significantly higher than that in the control group (P<0.05). Conclusion: Psychological nursing pathway on elderly patients with femoral fracture treated by internal fixation can accelerate the hip joint rehabilitation, relieve the perioperative pain, improve the clinical nursing satisfaction and reduce the incidence of complications, which can be used in clinical practice.
|
| 关键词 |
关键词 心理护理路径；股骨骨折；内固定治疗；围术期疼痛
|
| KeyWord |
Key words：Psychological nursing pathway; Femoral fracture; Internal fixation; Perioperative pain.
|
| 基金项目 |
|
| 页码 |
347-350 |
胡晨笛*, 汤然钧,王倩,和晖.
心理护理路径对老年股骨骨折内固定治疗患者围术期疼痛、负性情绪及术后康复的影响 [J].
国际精神病学杂志.
2019; 46; (2).
347 - 350.