围术期健康教育与心理干预对股骨骨折患者术后负性情绪、疼痛和满意度的影响
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摘要
目的:探讨分析围术期健康教育与心理干预对股骨骨折患者术后负性情绪、疼痛和满意度的影响。方法:选取本院收治的78例股骨骨折患者进行观察研究,将所选患者按照干预方式的不同分为观察组与对照组各39例,对照组患者给予常规干预,观察组患者在对照组基础上同时给予围术期健康教育联合心理干预。回顾性分析两组患者的临床资料,比较两组患者在干预前后的心理状况、疼痛程度及满意度。结果:术前,对照组负面情绪评分与入院时对比无明显差异(P>0.05),观察组负面情绪评分与入院时对比存在显著性差异,术后,观察组与对照组患者负面情绪评分相比入院时均降低,存在显著差异(P<0.05);观察组患者术前与术后的负面情绪评分均低于对照组,存在显著差异(F=27.189,35.197;P<0.001)。术后1d,对照组患者相比入院时疼痛评分无明显变化(P>0.05),观察组患者相比入院时疼痛评分有明显降低;术后2d,观察组与对照组患者的疼痛评分均显著低于入院时;术后,观察组患者疼痛评分明显低于对照组患者(F=161.039,P<0.001)。干预后,观察组患者满意度明显高于对照组(χ~2=5.571,P<0.05)。结论:对股骨骨折患者实施健康教育联合心理干预,可以有效改善患者术后不良心理状况,减轻疼痛程度,提高护理满意度,促进患者身体、心理、社会等功能达到最优化,加快疾病康复进程。
Objective:To investigate the influence of perioperative health education and psychological intervention on negative emotion,pain and satisfaction in patients with femoral fracture.Methods:A total of 78 cases of femoral fracture were treated in our hospital.The patients were divided into observation group and control group according to different Intervention methods,39 cases in each group,patients in the control group received routine intervention,while the observation group was given perioperative health education and psychological intervention on the basis of the control group.We retrospectively analyzed the clinical data of two groups of patients,compared the psychological status,pain degree and intervention satisfaction of the two groups before and after intervention.Results:There was no significant difference between the negative emotion scores of the control group and the admission time(P>0.05),there was significant difference between the negative emotion scores of the observation group and the admission time,after the operation,the negative emotion scores of the observation group and the control group decreased compared with the admission,and there were significant differences;The negative emotion scores before and after the operation in the observation group were lower than those in the control group,there were significant differences(F=27.189,35.197;P<0.001);One day after operation respectively,there was no significant difference in pain scores at admission between controls(P>0.05);Compared with the patients in the observation group,the pain score at admission decreased significantly,Two day after operation respectively the pain scores of the observation group and the control group were significantly lower than those at admission;After operation,the pain score of the observation group was lower than that of the control group(t=161.039,P<0.001).After operation,the satisfaction in observation group was significantly higher than in control group(χ~2=5.571,P<0.05)Conclusion:The implementation of health education and psychological intervention can effectively improve the postoperative psychological status of the patients with femoral fracture,reduce the degree of pain,improve nursing satisfaction,promote the patient's physical,psychological,social and other functions to achieve optimization,speed up the rehabilitation process of disease.
Objective:To investigate the influence of perioperative health education and psychological intervention on negative emotion,pain and satisfaction in patients with femoral fracture.Methods:A total of 78 cases of femoral fracture were treated in our hospital.The patients were divided into observation group and control group according to different Intervention methods,39 cases in each group,patients in the control group received routine intervention,while the observation group was given perioperative health education and psychological intervention on the basis of the control group.We retrospectively analyzed the clinical data of two groups of patients,compared the psychological status,pain degree and intervention satisfaction of the two groups before and after intervention.Results:There was no significant difference between the negative emotion scores of the control group and the admission time(P>0.05),there was significant difference between the negative emotion scores of the observation group and the admission time,after the operation,the negative emotion scores of the observation group and the control group decreased compared with the admission,and there were significant differences;The negative emotion scores before and after the operation in the observation group were lower than those in the control group,there were significant differences(F=27.189,35.197;P<0.001);One day after operation respectively,there was no significant difference in pain scores at admission between controls(P>0.05);Compared with the patients in the observation group,the pain score at admission decreased significantly,Two day after operation respectively the pain scores of the observation group and the control group were significantly lower than those at admission;After operation,the pain score of the observation group was lower than that of the control group(t=161.039,P<0.001).After operation,the satisfaction in observation group was significantly higher than in control group(χ~2=5.571,P<0.05)Conclusion:The implementation of health education and psychological intervention can effectively improve the postoperative psychological status of the patients with femoral fracture,reduce the degree of pain,improve nursing satisfaction,promote the patient's physical,psychological,social and other functions to achieve optimization,speed up the rehabilitation process of disease.
引文
[1]于静.优质护理对股骨颈骨折患者术后心理健康及下肢功能恢复的影响[J].现代医学,2016,26(10):1437-1440
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[9]加长林,李琴.系统性护理干预在老年股骨颈骨折患者中的应用[J].实用临床医药杂志,2015,19(23):231-232
[10]郭丽萍.系统性护理干预对老年性股骨颈骨折术后病人疼痛的影响[J].护理研究,2015,29(18):2303-2304
[11]潘铄,冯涛,刘晓辉,等.肥胖对股骨粗隆间骨折围手术期失血的影响[J].临床误诊误治,2016,29(6):95-99
[12]高筱琪,丁淑贞,王京,等.老年人健康促进生活方式和健康价值的相关性[J].中国健康心理学杂志,2015,23(5):769-772
[13]彭婷,黄婧琼,陈邦菊,等.护理干预对老年股骨骨折术后恢复的意义[J].西部医学,2015,27(8):1245-1247
[14]Alaloul F,Williams K,Myers J,et al.Impact of a script-based communication intervention on patient satisfaction with pain management[J].Pain Management Nursing,2015,16(3):321-327
[15]肖丽君.中老年股骨颈骨折全髋关节置换术的围术期康复指导及护理对策[J].实用临床医药杂志,2015,19(4):76-78
[16]戴艳,吴垠,周扬.系统化护理模式对老年股骨颈骨折患者消极情绪及并发症的影响[J].现代中西医结合杂志,2016,25(7):784-786
[17]陈雪梅,孔丹,李欣潞.舒适护理联合中医情志护理在老年性股骨颈骨折围手术期的护理效果观察[J].中医药导报,2015,26(18):106-108
[18]张兴睿,丁慧勇.围术期抗结核并一期病灶清除加髋关节置换术治疗髋关节结核的临床结局评价[J].临床误诊误治,2017,30(1):13-16
[19]黄晓娟,何建书.中老年股骨颈骨折全髋关节置换术的围手术期康复指导及护理对策[J].中国医药导刊,2016,18(1):105-106
[20]张仙梦,李莉,王淑茹.加速康复外科理论在股骨颈骨折老年患者围术期护理中的应用[J].现代临床护理,2016,15(7):22-26
[21]曾龙武,唐漫漫,唐晓鸿,等.认知行为干预对肠癌化疗病人照顾者照顾负担的影响[J].中国健康心理学杂志,2017,25(1):43-47
[22]He H G,Zhu L,Chan W C,et al.The effectiveness of therapeutic play intervention in reducing perioperative anxiety,negative behaviors,and postoperative pain in children undergoing elective surgery:A systematic review[J].Pain Management Nursing,2015,16(3):425-439
[23]田玉凤,唐秀丽,谭晶.快速康复理念在老年脆性股骨粗隆骨折围术期护理中的应用[J].实用临床医药杂志,2017,21(6):188-189
[24]焦顺成,曹立峰,杜立,等.膝关节骨性关节炎股骨远端旋转解剖标志变化及其临床意义[J].解放军医药杂志,2016,28(1):69-72
[25]任冬云,秦柳花,刘明慧,等.快优康复护理在老年股骨颈骨折微创全髋关节置换术围手术期的应用[J].中国矫形外科杂志,2016,24(24):2303-2304
[2]李溪晶,陈雪,史媛媛,等.无痛管理临床路径在老年股骨骨折患者围术期护理中的应用[J].中华现代护理杂志,2016,22(26):3807-3810
[3]单亚楠,董丽.高龄股骨颈骨折患者行人工髋关节置换术的围术期护理[J].实用临床医药杂志,2016,20(6):76-79
[4]黄凯,陈安富.两种内固定手术治疗老年股骨转子间骨折的隐性失血量及预后比较[J].空军医学杂志,2016,32(4):261-263
[5]李艳玲.护理路径对老年股骨颈骨折患者的影响[J].中国煤炭工业医学杂志,2015,18(3):477-479
[6]孙晓蓓,王巧桂.图文式健康教育对老年股骨粗隆间骨折患者术后功能恢复的影响[J].中华现代护理杂志,2015,21(22):2642-2644
[7]Hong-Gu H,Lixia Z,Sally Wai-Chi C,et al.Therapeutic play intervention on children's perioperative anxiety,negative emotional manifestation and postoperative pain:A randomized controlled trial[J].Journal of Advanced Nursing,2015,71(5):1032-1043
[8]王列红,齐维萍,王迎春.护理干预对股骨干骨折内固定术后膝关节功能与术后疼痛的影响[J].检验医学与临床,2015,36(19):2950-2951
[9]加长林,李琴.系统性护理干预在老年股骨颈骨折患者中的应用[J].实用临床医药杂志,2015,19(23):231-232
[10]郭丽萍.系统性护理干预对老年性股骨颈骨折术后病人疼痛的影响[J].护理研究,2015,29(18):2303-2304
[11]潘铄,冯涛,刘晓辉,等.肥胖对股骨粗隆间骨折围手术期失血的影响[J].临床误诊误治,2016,29(6):95-99
[12]高筱琪,丁淑贞,王京,等.老年人健康促进生活方式和健康价值的相关性[J].中国健康心理学杂志,2015,23(5):769-772
[13]彭婷,黄婧琼,陈邦菊,等.护理干预对老年股骨骨折术后恢复的意义[J].西部医学,2015,27(8):1245-1247
[14]Alaloul F,Williams K,Myers J,et al.Impact of a script-based communication intervention on patient satisfaction with pain management[J].Pain Management Nursing,2015,16(3):321-327
[15]肖丽君.中老年股骨颈骨折全髋关节置换术的围术期康复指导及护理对策[J].实用临床医药杂志,2015,19(4):76-78
[16]戴艳,吴垠,周扬.系统化护理模式对老年股骨颈骨折患者消极情绪及并发症的影响[J].现代中西医结合杂志,2016,25(7):784-786
[17]陈雪梅,孔丹,李欣潞.舒适护理联合中医情志护理在老年性股骨颈骨折围手术期的护理效果观察[J].中医药导报,2015,26(18):106-108
[18]张兴睿,丁慧勇.围术期抗结核并一期病灶清除加髋关节置换术治疗髋关节结核的临床结局评价[J].临床误诊误治,2017,30(1):13-16
[19]黄晓娟,何建书.中老年股骨颈骨折全髋关节置换术的围手术期康复指导及护理对策[J].中国医药导刊,2016,18(1):105-106
[20]张仙梦,李莉,王淑茹.加速康复外科理论在股骨颈骨折老年患者围术期护理中的应用[J].现代临床护理,2016,15(7):22-26
[21]曾龙武,唐漫漫,唐晓鸿,等.认知行为干预对肠癌化疗病人照顾者照顾负担的影响[J].中国健康心理学杂志,2017,25(1):43-47
[22]He H G,Zhu L,Chan W C,et al.The effectiveness of therapeutic play intervention in reducing perioperative anxiety,negative behaviors,and postoperative pain in children undergoing elective surgery:A systematic review[J].Pain Management Nursing,2015,16(3):425-439
[23]田玉凤,唐秀丽,谭晶.快速康复理念在老年脆性股骨粗隆骨折围术期护理中的应用[J].实用临床医药杂志,2017,21(6):188-189
[24]焦顺成,曹立峰,杜立,等.膝关节骨性关节炎股骨远端旋转解剖标志变化及其临床意义[J].解放军医药杂志,2016,28(1):69-72
[25]任冬云,秦柳花,刘明慧,等.快优康复护理在老年股骨颈骨折微创全髋关节置换术围手术期的应用[J].中国矫形外科杂志,2016,24(24):2303-2304