心理护理教育对老年股骨颈骨折心理弹性的影响

Psychological nursing education affect in thethe mental flexibility of elderly femoral neck fracture

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

中国医科大学附属第一医院骨科 ;
中国医科大学附属第一医院骨科 ;

摘要
[摘要]探究心理护理教育对老年股骨颈骨折患者心理弹性的影响。方法 回顾性分析我院120例老年股骨颈骨折患者治疗效果。其中对照组行常规护理,观察组在对照组的基础上行心理护理教育,对入院、出院时患者焦虑自评量表(SAS)、抑郁自评量表(SDS),出院时心理弹性量表、生理应激指标和心理应激指标进行统计学分析。结果 入院时各组SAS和SDS比较P>0.05,无统计学差异;出院时观察组SAS和SDS均较对照组低,且焦虑、抑郁改善程度观察组为(23.6±4.8)分、(22.0±2.9)分,大于对照组相应改善度(17.3±1.2)分、(13.4±2.6)分,比较均有P<0.05,差异有统计学意义;出院时心理弹性量表统计结果显示观察组心理弹性较对照组高(P<0.05);生理应激指标检测结果为观察组血糖水平低于对照组,胰高血糖素水平高于对照组,心理应激指标检测结果为观察组HAMD评分、HAMA评分、NRS评分均低于对照组。结论 心理护理教育可以增加老年人股骨颈骨折心理弹性,提高自我效能认定,有助于患者情绪的调节,对骨折的恢复起积极作用。
Abstract
[Abstract] Objective To explore the psychological nursing education effects on psychological elasticity in elderly patients with femoral neck fracture. Methods retrospective analysis 120 cases of elderly patients with femoral neck fracture treatment effect. In the control group with the control group, routine nursing group upward psychological nursing education, the basis of anxiety in patients with admission and discharge in the rating scale (SAS), depression self rating scale (SDS), when discharged mental resilience scale, physiological stress index and index of psychological stress for statistical analysis. ResultsSAS and SDS of each group had no statistical difference, P > 0.05; SAS and SDS in discharge observation group were lower than the control group, and the degree of anxiety, depression, improve observation group (23.6±4.8), (22.0-2.9), greater than the control group to improve corresponding degrees (17.3±1.2), (13.4±2.6) points, compare both P < 0.05, the difference was statistically significant; When discharged mental resilience scale statistical results show that the observation group high resilience than the control group (P < 0.05); Index of physiological stress test results as the observation group blood sugar levels lower than the control group, glucagon levels higher than the control group, the index of psychological stress test results for the observation group of HAMD scores and HAMA scores, NRS scores were lower than the control group. ConclusionsPsychological nursing education can increase the psychological elasticity for femoral neck fractures in the elderly, improve self-efficacy, help patients emotional adjustment, positive effect to the fracture of the recovery.
关键词
[关键词] 心理护理教育;股骨颈骨折;老年患者;心理弹性
KeyWord
[key words] psychological nursing education; Femoral neck fracture; Elderly patients; Psychological elastic
基金项目
页码 148-150
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石广卉*,王姣,杜玲 ,林兆雪. 心理护理教育对老年股骨颈骨折心理弹性的影响 [J]. 国际精神病学杂志. 2017; 44; (1). 148 - 150.

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