正念训练应用于股骨粗隆间骨折患者疼痛及负性情绪的影响
|
摘要
目的探讨正念训练对股骨粗隆间骨折患者疼痛以及负性情绪的影响。方法选择2017年1-12月河北省秦皇岛市第一医院骨科收治确诊的80例股骨粗隆间骨折患者为研究对象,按照治疗方案分为研究组与对照组,每组40例。对照组采用常规护理,研究组在其基础之上给予正念训练,比较2组患者休斯顿疼痛情况调查表(HPOI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及应用Harris评分法的结果,判断正念训练对股骨粗隆间骨折患者疼痛、焦虑、抑郁以及髋关节功能的影响。结果干预后,研究组患者对疼痛控制满意度优于对照组,观察组SAS、SDS评分明显较对照组低,研究组髋关节功能优良率(90. 00%)优于对照组(72. 55%),差异均有统计学意义(P <0. 05)。结论对于股骨粗隆间骨折术后患者,正念训练有利于降低其焦虑、抑郁水平,减轻疼痛,促进髋关节功能康复,在临床上有普及、推广、使用价值。
Objective To investigate the effects of mindfulness training on pain and negative emotion in patients with intertrochanteric fractures. Methods A total of 80 patients confirmed as intertrochanteric fractures and hospitalized from January to December2017 were randomly divided into the study group and the control group in accordance with different treatment methods,each consisting of 40 patients. The control group received routine nursing,while the study group was given mindfulness training,in addition to the routine nursing as received by the control group. Then,Houston Pain Outcome Instrument( HPOI),Self-rating Anxiety Scale( SAS),Selfrating Depression Scale( SDS) and Harris scoring method were used to evaluate the effects of mindfulness training on pain,anxiety,depression and hip function in the patients with intertrochanteric fractures. Results Following intervention,the rate of patient satisfaction with pain control for the patients of the observation group was obviously superior to that of the control group( P < 0. 05). The scores of SAS and SDS in the observation group were significantly lower than those in the control group,and the rate of good and excellent treatment results in hip joint function for the observation group( 90. 00%) was significantly higher than that of the control group( 72. 50%). Statistical significance could be found when comparisons were made between the 2 groups( P < 0. 05). Conclusion For the patients with intertrochanteric fractures,mindfulness training could help to reduce their anxiety and depression,relieve pain and promote recovery of hip joint function. For this reason,it is worth clinical application and further popularization.
Objective To investigate the effects of mindfulness training on pain and negative emotion in patients with intertrochanteric fractures. Methods A total of 80 patients confirmed as intertrochanteric fractures and hospitalized from January to December2017 were randomly divided into the study group and the control group in accordance with different treatment methods,each consisting of 40 patients. The control group received routine nursing,while the study group was given mindfulness training,in addition to the routine nursing as received by the control group. Then,Houston Pain Outcome Instrument( HPOI),Self-rating Anxiety Scale( SAS),Selfrating Depression Scale( SDS) and Harris scoring method were used to evaluate the effects of mindfulness training on pain,anxiety,depression and hip function in the patients with intertrochanteric fractures. Results Following intervention,the rate of patient satisfaction with pain control for the patients of the observation group was obviously superior to that of the control group( P < 0. 05). The scores of SAS and SDS in the observation group were significantly lower than those in the control group,and the rate of good and excellent treatment results in hip joint function for the observation group( 90. 00%) was significantly higher than that of the control group( 72. 50%). Statistical significance could be found when comparisons were made between the 2 groups( P < 0. 05). Conclusion For the patients with intertrochanteric fractures,mindfulness training could help to reduce their anxiety and depression,relieve pain and promote recovery of hip joint function. For this reason,it is worth clinical application and further popularization.
引文
[1]张伟强,祁宝昌,邓鹏飞,等.老年股骨粗隆间骨折治疗的临床进展[J].中国老年学杂志,2015,35(01):266-268.DOI:10.3969/j.issn.1005-9202.2015.01.135.
[2]程建,雷会宁,冯仕明,等.PFNA与DHS治疗不稳定型股骨粗隆间骨折的Meta分析[J].重庆医学,2016,45(21):2956-2961.DOI:10.3969/j.issn.1671-8348.2016.21.023.
[3]桂景雄,郭胜,许国泰,等.闭合复位PFNA治疗高龄老年股骨粗隆间骨折[J].创伤外科杂志,2018,20(3):218-220.DOI:10.3969/j.issn.1009-4237.2018.03.014.
[4]沈曲,李峥.休斯顿疼痛情况调查表信度和效度的研究[J].中华护理杂志,2006,41(11):1049-1051.DOI:10.3321/j.issn:0254-1769.2006.11.036.
[5]孙振晓,刘化学,焦林瑛,等.医院焦虑抑郁量表的信度及效度研究[J].中华临床医师杂志(电子版),2017,11(2):198-201.DOI:10.3877/cma.j.issn.1674-0785.2017.02.005.
[6]彭福强,邱志杰,曾卫平.动力髋螺钉与股骨近端髓内钉治疗老年股骨近端骨折临床疗效Harris评分及预后生活质量的影响[J].河北医学,2016,22(11):1777-1779.DOI:10.3969/j.issn.1006-6233.2016.11.007.
[7]沈方英.老年股骨粗隆间骨折患者隐性失血的临床观察与护理[J].护士进修杂志,2017,32(08):730-732.DOI:10.16821/j.cnki.hsjx.2017.08.019.
[8]陈荣,赵海,王隆辉,等.老年股骨粗隆间骨折手术治疗的疗效[J].中国老年学杂志,2012,32(15):3326-3327.DOI:10.3969/j.issn.1005-9202.2012.15.100.
[9]董春凤,王艾英,张冬梅,等.正念减压训练对冠状动脉介入治疗术后过渡期焦虑患者认知偏向和疾病不确定感的影响[J].广东医学,2017,38(23):3697-3700.DOI:10.3969/j.issn.1001-9448.2017.23.042.
[10]陈瑶.正念训练对肝移植术后患者焦虑抑郁水平及睡眠质量的影响[J].护理实践与研究,2017,14(13):134-136.DOI:10.3969/j.issn.1672-9676.2017.13.059.
[11]高俊香,杨俊花,赵秀君,等.正念训练对2型糖尿病患者心理痛苦及生活质量的影响[J].中华现代护理杂志,2018,24(2):186-190.DOI:10.3760/cma.j.issn.1674-2907.2018.02.014.
[2]程建,雷会宁,冯仕明,等.PFNA与DHS治疗不稳定型股骨粗隆间骨折的Meta分析[J].重庆医学,2016,45(21):2956-2961.DOI:10.3969/j.issn.1671-8348.2016.21.023.
[3]桂景雄,郭胜,许国泰,等.闭合复位PFNA治疗高龄老年股骨粗隆间骨折[J].创伤外科杂志,2018,20(3):218-220.DOI:10.3969/j.issn.1009-4237.2018.03.014.
[4]沈曲,李峥.休斯顿疼痛情况调查表信度和效度的研究[J].中华护理杂志,2006,41(11):1049-1051.DOI:10.3321/j.issn:0254-1769.2006.11.036.
[5]孙振晓,刘化学,焦林瑛,等.医院焦虑抑郁量表的信度及效度研究[J].中华临床医师杂志(电子版),2017,11(2):198-201.DOI:10.3877/cma.j.issn.1674-0785.2017.02.005.
[6]彭福强,邱志杰,曾卫平.动力髋螺钉与股骨近端髓内钉治疗老年股骨近端骨折临床疗效Harris评分及预后生活质量的影响[J].河北医学,2016,22(11):1777-1779.DOI:10.3969/j.issn.1006-6233.2016.11.007.
[7]沈方英.老年股骨粗隆间骨折患者隐性失血的临床观察与护理[J].护士进修杂志,2017,32(08):730-732.DOI:10.16821/j.cnki.hsjx.2017.08.019.
[8]陈荣,赵海,王隆辉,等.老年股骨粗隆间骨折手术治疗的疗效[J].中国老年学杂志,2012,32(15):3326-3327.DOI:10.3969/j.issn.1005-9202.2012.15.100.
[9]董春凤,王艾英,张冬梅,等.正念减压训练对冠状动脉介入治疗术后过渡期焦虑患者认知偏向和疾病不确定感的影响[J].广东医学,2017,38(23):3697-3700.DOI:10.3969/j.issn.1001-9448.2017.23.042.
[10]陈瑶.正念训练对肝移植术后患者焦虑抑郁水平及睡眠质量的影响[J].护理实践与研究,2017,14(13):134-136.DOI:10.3969/j.issn.1672-9676.2017.13.059.
[11]高俊香,杨俊花,赵秀君,等.正念训练对2型糖尿病患者心理痛苦及生活质量的影响[J].中华现代护理杂志,2018,24(2):186-190.DOI:10.3760/cma.j.issn.1674-2907.2018.02.014.