针对性心理护理疗法应用于创伤性骨折合并抑郁患者的可行性与有效性分析
摘要
目的探讨心理护理疗法对创伤性骨折合并抑郁患者的干预效果。方法选择我院收治的创伤性骨折合并抑郁的60例患者,采用随机数字法分为观察组和对照组,两组各30例。两组均采用常规护理干预的方法,观察组在此基础上进行心理护理干预。干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自杀评分量表(QSA)、症状自评量表(SCL-90)、简明健康调查量表(SF-36)评价工具,了解心理护理疗法对创伤性骨折合并抑郁患者的干预效果。结果干预前,两组SDS评分、SAS评分、SF-36各维度评分、QSA评分、SCL-90评分差异无显著性(P>0.05);干预后,观察组QSA和SCL-90评分明显低于对照组(P<0.05);SF-36评分明显升高,差异有显著性(P<0.05);SDS和SAS评分明显下降,差异有显著性(P<0.05)。结论心理护理可消除患者焦虑、抑郁症状,降低创伤性骨折合并抑郁发生率,提高患者生活质量,效果优于单纯常规护理,值得临床推广。
引文
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[15]王训文.急诊创伤患者应激心理护理中循证护理的应用及对HAMD评分的影响[J].医学理论与实践,2018(1):143-145.
[2]赵艳君,朱婷,陈燕,等.拟动物化情景剧视频对四肢骨折患儿心理状况的影响[J].中国矫形外科杂志,2018(12):1102-1106.
[3]Duckworth A L,Steen T A,Seligman M E.Positive psychology in clinical practice[J].Annu Rev Clin Psychol,2015(12):629-651.
[4]Liu H Y,Yang C T,Tseng M Y,et al.Trajectories in postoperative recovery of elderly hip-fracture patients at risk for depression:A follow-up study[J].Rehabil Psychol,2018(3):438-446.
[5]Gupta H,Natarajan S,Vaidya S,et al.Traumatic eye ball luxation:A stepwise approach to globe salvage[J].Saudi J Ophthalmol,2017(4):260-265.
[6]Alexiou K I,Roushias A,Varitimidis S E,et al.Quality of life and psychological consequences in elderly patients after a hip fracture:a review[J].Clin Interv Aging,2018(1):143-150.
[7]Ivarsson B,Hommel A,Sandberg M,et al.The experiences of pre-and in-hospital care in patients with hip fractures:A study based on Critical incidents[J].Int J Orthop Trauma Nurs,2018(1):8-13.
[8]Robalino S,Nyakang′o S B,Beyer F R,et al.Effectiveness of interventions aimed at improving physical and psychological outcomes of fall-related injuries in people with dementia:a narrative systematic review[J].Syst Rev,2018(1):31.
[9]Roberts J L,Din N U,Williams M,et al.Development of an evidencebased complex intervention for community rehabilitation of patients with hip fracture using realist review,survey and focus groups[J].BMJ Open,2017(10):14362.
[10]Tutton E,Achten J,Lamb S E,et al.A qualitative study of patient experience of an open fracture of the lower limb during acute care[J].Bone Joint J,2018(4):522-526.
[11]Furlan A D,Irvin E,Munhall C,et al.Rehabilitation service models for people with physical and/or mental disability living in low-and middleincome countries:A systematic review[J].J Rehabil Med,2018(6):487-498.
[12]黄晶晶.骨折术后采取综合护理措施对患者的焦虑抑郁、疼痛及患者满意度的影响[J].国际护理学杂志,2018(4):488-490.
[13]程琳.心理护理在骨科手术后感染患者护理中的应用[J].实用临床护理学电子杂志,2018(24):67,72.
[14]孙渊博,祝扬,李丁,等.某综合医院住院患者精神障碍患病率、识别率及危险因素调查分析[J].中国现代医学杂志,2018(4):68-75.
[15]王训文.急诊创伤患者应激心理护理中循证护理的应用及对HAMD评分的影响[J].医学理论与实践,2018(1):143-145.