全髋关节置换手术病人情绪障碍调查及护理干预

A survey of patients developed emotion disorders after undergoing total hip replacement and nursing intervention for them

[目的]分析全髋关节置换术病人产生情绪障碍的原因,并探讨干预对策。[方法]选择2005年07月—2007年12月我院骨科收治的53例行全髋关节置换手术病人,在病人入院后第2天及接受全髋关节置换手术后第6天采取焦虑自评量表(SAS)和抑郁自评量表(SDS),评定病人情绪状态。在病人接受常规治疗和护理的基础上,给予支持性心理护理干预措施。[结果]护理干预前病人焦虑、抑郁评分较国内常模高;护理干预后焦虑、抑郁评分较护理干预前低,差异均有统计学意义(P<0.05)。[结论]对全髋关节置换手术病人在分析情绪障碍的基础上,给予支持性心理护理干预对策可显著减轻病人焦虑、抑郁等负性情绪,提高病人心理健康水平,提高手术成功率。

Objective. To analyze the causes of emotion disorders of patients after undergoing total hip replacement and to probe into intervention strategies for them. Methods. A total of 53 patients undergoing total hip replacement who were treated in department of orthopaedics in our hospital from July in 2005 to December in 2007 were selected. Emotion states of patients were evaluated with SAS and SDS on the 2nd day after admission and the 6th day after replacement of total hip respectively,. Supportive psychological nursing intervention measures were given to patients based on o routine treatment and nursing care. Results. The scores of anxiety and de- pression of patients before nursing intervention were higher than the domestic norm. The scores of anxiety and depression of patient after nursing intervention were lower than that before nursing intervention （P〈0.05）. Conclusion. Based on the analysis of emotion disorders, supportive psychological nursing intervention measures for patients undergoing replacement of total hip could abate or eliminate negative emotions such as anxiety and depression for them and enhance their psychological health level. It could also enhance the achievement ratio of Operation for patients.