护理干预对四肢骨折患者社会心理因素及近期疗效的影响

The influence of nursing intervention on social psychic factors and short term therapeutic effect of patients with extremities bone fracture

目的探讨劳务工四肢骨折后社会支持对患者心理健康及近期疗效的影响，为更好的制定心理健康教育提供理论依据。方法选择劳务工四肢骨折患者90例，将其分为对照组（45例）和观察组（45例），对照组进行常规健康教育，观察组进行常规健康教育并实施心理干预，两组于入院1周内及出院前1周施测社会支持评定量表（SSRS）及状态焦虑量表（S—AI）进行心理评估，两组出院前1周进行骨折疗效评定。结果两组出院前社会支持及焦虑评分结果比较差异有统计学意义（P〈0．05），骨折近期疗效评定两组差异有统计意义（P〈0．05）。结论针对性的心理护理能改善劳务工四肢骨折患者社会支持，提高心理健康水平及骨折疗效。

Objective To explore the influence of the social support on psycho-healthy and therapeutic effeet of patients with extremities bone fracture; to provide theory guidanee for formulating psyeho-healthy edueation. Methods A total of 90 patients with extremity bone fracture were divided into eontrol group and observation group equally. Carting out routine healthy eduction on eontrol group, while mental intervention and routine healthy education on observation group, undertaking psyehologieal assessment with social support rating seale（SSRS） and state anxiety scale（SAI） one week after hospital admission and one week prior to diseharge. Results Comparing the score of social support and anxiety, there was difference between two groups prior to discharge （ P 〈 0. 05 ）. The difference of short-term effect of fracture assess between two groups were statistieally signifieant（ P 〈 0.05）. Conclusions The selectivity mental nursing could improve the social support, psychohealth level and bone fracture therapeutic effect of patients with extremities bone fracture.