骨外科患者心理焦虑的护理探讨

Nursing of Psychological Anxiety in Patients with Bone Surgery

目的:探讨骨外科患者心理焦虑正确有效的护理措施,为改善骨外科患者心理焦虑情况从而保障其临床治疗效果与生活质量提供可靠依据。方法:选取2011年1月1日-12月31日笔者所在医院收治的82例骨外科患者,将其随机分为对照组和研究组,对照组仅给予常规护理措施;研究组在对照组常规护理措施的基础上,给予心理焦虑护理干预措施。护理前后,应用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者心理焦虑及抑郁情况进行评价,应用自拟护理满意度调查表对两组患者对临床护理工作满意度进行评价,并将上述评价结果进行对比。结果:临床护理前研究组心理焦虑自评量情况、抑郁自评量情况与对照组比较,差异均无统计学意义(P>0.05);研究组患者经常规护理与心理干预相结合的综合性护理措施进行护理后,患者焦虑、抑郁及护理满意度方面均优于对照组,差异有统计学意义(P<0.05)。结论:骨外科患者在进行常规临床护理基础上,给予心理护理干预措施,能够有效改善患者焦虑、抑郁等负面情绪,并显著提高对临床护理工作的满意度,从而降低护患纠纷发生率,提高患者临床治疗与护理效果,值得临床推广应用。

Objective： To study on bone surgery patients psychological anxiety is correct and effective nursing measures, and provide a reliable basis for improving bone anxiety patients surgical situation so as to guarantee the clinical treatment effect and quality of life.Methods： 82 cases of bone surgery patients from Jan 1 2011 to Dec 31 2011 in our hospital were selected, who were randomly divided into control group and study group, the control group treated by only routine nursing measures; Bone surgery based on the routine nursing measures, psychological anxiety nursing intervention measures.The study group and the control group bone surgery patients before and after care, self-rating anxiety scale（SAS）, self-rating depression scale（SDS） assessment of two groups of patients with anxiety and depression, the application of nursing satisfaction survey of two groups of patients for clinical nursing work satisfaction, evaluation, and comparing with the the evaluation resuhs.Results： The study group of patients before and after bone surgery clinical nursing of patients in the control group psychological self- rating anxiety status, self-rating depression had no significant difference with the control group（P〉0.05）; The study group with routine care and psychological stem comprehensive nursing measures combining nursing, psychological anxiety, patients with mental depression and nursing satisfaction were superior to the control group（P〈0.05）.onclusion： Bone surgery patients in routine clinical nursing, psychological nursing intervention measures, can effectively improve the patients psychological anxiety, depression and other negative emotions, and improve the patients＇ clinical nursing job satisfaction, so as to reduce the incidence of nurse-patient disputes, improve the clinical treatment effect and nursing of patients, is worthy of clinical application.