Journal of International Psychiatry

[Abstract] Objective: To explore the effect of psychological nursing based on the concept of evidence-based medicine on the mood and prognosis of patients with limb fractures. METHODS: A total of 118 patients with limb fractures were randomly divided into study group and control group (n = 59). The control group was treated with routine orthopedic care. The study group was treated with limb fractures (VAS) and concise health status questionnaire (SF-36) were used to evaluate the pain and quality of life of the two groups before and after the intervention. The Hamilton anxiety scale (Hamilton anxiety scale) was used to evaluate the pain and quality of life. HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate the emotional status of the two groups before and after intervention, and the nursing satisfaction was analyzed by questionnaire. Results: There was no significant difference in VAS score and SF-36 score between the two groups before and after treatment (P> 0.05). The VAS score of the study group was significantly lower than that of the control group (P <0.05) (P <0.05). There was no significant difference in the HAMA and HAMD scores between the two groups before and after treatment (P> 0.05). After the intervention group, the HAMA and HAMD scores of the two groups were significantly higher than those in the control group (P <0.05) (P <0.05). The overall nursing satisfaction of the study group was 98.3% (58/59), which was significantly higher than that of the control group (86.4%) (51/59). Conclusion: The implementation of psychological nursing based on the concept of evidence-based medicine can effectively improve the emotional state and prognosis of patients with limb fractures, improve the patients nursing satisfaction, worthy of clinical promotion and application.

[Key words] limb fractures; psychological care; evidence-based medicine; mood; prognosis