心理护理干预对老年骨折术后并发急性精神障碍的临床效果分析

Psychological nursing intervention of acute fracture surgery in elderly mental disorders clinical effectiveness analysis

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

西安交通大学第一医院 ;

摘要
【摘要】 目的:研究心理护理干预对老年骨折术后并发急性精神障碍的临床效果分析。方法:选取我院从2013年4月至2015年3月收治的老年骨折术后并发急性精神障碍的患者90例,采用随机数字表法将90例老年骨折术后并发急性精神障碍的患者分为观察组(45例)和对照组(45例);对照组采取常规护理,观察组采取心理护理干预,观察对比两组患者的护理满意率、HAMD评分、HAMA评分、精神护理观察量表(IRPOS评分)以及并发症发生情况。结果:观察组的护理满意率100.00%高于对照组88.89%(P<0.05);观察组的HAMD评分与HAMD评分明显低于对照组 (P<0.05);观察组评分明显低于对照组(P<0.05);观察组的并发症发生率11.11%低于对照组28.89% (P>0.05)。结论:老年骨折术后并发急性精神障碍患者应用心理护理干预后焦虑抑郁等负性情绪得到明显缓解,提高护理满意率,减少并发症的发生,因此值得在临床上进一步推广应用。
Abstract
Objiective: Analysis of Psychological Nursing Intervention for acute fracture surgery in elderly mental disorders clinical effect. Methods: Our hospital from April 2013 to March 2015 were treated 90 cases of fractures in elderly patients with acute mental disorders, using random number table 90 patients with acute fracture surgery in elderly mental disorders into the observation group (45 cases) and control group (45 cases); the control group received usual care, observation group taking psychological care intervention, the two groups were observed and compared care satisfaction rate, HAMD score, HAMA score, mental nursing observation scale (IRPOS Rating) and complications were observed. Results: The nursing satisfaction rate higher than 100.00% 88.89% (P <0.05); observation group HAMD score and HAMD score was significantly lower than the control group (P <0.05); the observation group scores were significantly lower than the control group ( P <0.05); the incidence of complications in the observation group than the control group 11.11% 28.89% (P> 0.05). Conclusion: The fracture in elderly postoperative patients with acute mental disorder after mental nursing anxiety, depression and other negative emotions significantly alleviated, improve nursing satisfaction, reduce complications, and therefore worthy of further clinical application.
关键词
【关键词】:老年;骨折;急性精神障碍;心理护理干预
KeyWord
Key words: Aged; fracture; acute mental disorders; mental nursing
基金项目
页码 907-909
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周芳芳*,张曼齐,杨红,王小娟. 心理护理干预对老年骨折术后并发急性精神障碍的临床效果分析 [J]. 国际精神病学杂志. 2016; 43; (5). 907 - 909.

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