骨科感染患者心理护理干预效果分析

Analysis of the effect of psychological nursing intervention for orthopedic patients with infection

目的对骨科感染患者的心理进行调查评分,探讨临床干预对骨科感染患者心理的影响效果,为临床护理提供参考。方法将2010年6月-2012年12月收治的104例骨科感染患者随机分为对照组和试验组,每组各52例;对照组采用常规临床方案进行治疗,试验组执行针对性干预措施进行治疗,采用症状自评量表SCL-90对两组患者干预前后的心理情况进行评价,数据采用SPSS14.0软件进行分析。结果骨科患者发生感染后均存在不同程度的负性心理,两组患者差异无统计学意义,干预后试验组SCL-90总评分为(1.30±0.28)分,对照组总评分为(1.46±0.35)分,差异有统计学意义(P<0.05);试验组在干预后焦虑、抑郁、恐怖、偏执、躯体化及人际关系评分明显低于干预前(P<0.05),对照组仅抑郁、焦虑得分明显低于干预前(P<0.05),干预后试验组在焦虑、抑郁、敌对、恐怖、偏执、躯体化及人际关系评分明显低于对照组(P<0.05)。结论骨科患者发生感染后易出现负性心理,严重者会影响正常生活,因此,对骨科感染患者进行有针对性的临床干预可以缓解负性情绪,减少患者负性心理带来的不良影响,促进患者恢复健康。

OBJECTIVE To investigate and grade psychology in orthopedic patients with infection ,and discuses the impact effect of clinical intervention on the psychology in orthopedic patients with infection ,so as to provide a reference for future clinical nursing .METHODS From Jun .2010 to Dec .2012 ,a total of 104 orthopedic patients with infection were randomly assigned into 2 groups ,52 patients in each group ;Control group accepted routine clinical scheme ,and experiment group accepted targeted intervening measure to cure ,the psychological condition before and after intervention was evaluated by the symptom checklist SCL-90 .SPSS14 .0 software was used for statistical analysis .RESULTS There were different degrees of negative psychology in both groups of orthopedic patients after infection ,but there was no statistically difference between the two groups .After the intervention , SCL-90 score in experiment group was （1 .30 ＆#177; 0 .28） and control group was （1 .46 ＆#177; 0 .35） ,there was significant difference （P＆lt;0 .05） .The grades of anxiety ,depression ,phobia ,paranoid ,somatization and interpersonal rela-tionship in experiment group after intervention were obviously lower than those before intervention （P＆lt;0 .05） , but only the grades of anxiety and depressionwere obviously lower than before in control group （P＆lt;0 .05） .After intervention the grades of anxiety , depression , hostility , phobia , paranoid , somatization and interpersonal relationship in experiment group were obviously lower than those in control group （P＆lt; 0 .05） .CONCLUSION Orthopedic patients after infection are prone to negative psychology ,serious or even affect the normal life .So , nursed with the special nursing intervention ,the negative emotion of the orthopedic patients with infection could be alleviated ,the adverse effects which brought about by the negative psychology in patients could be reduced , then to promote patients recovery .