中医情志护理对预防老年骨科患者术后负性情绪及睡眠质量的影响

Impact of TCM emotional nursing on negative mood and sleep quality in elderly orthopedic patients

目的探讨中医情志护理对预防老年骨科患者术后负性情绪及睡眠质量的影响。方法选择2012年7月至2014年6月该院104例老年骨科手术患者为研究对象,根据就诊顺序随机分为观察组及对照组各52例。对照组实施围术期常规护理干预,观察组在对照组基础上联合中医情志护理干预。观察两组患者干预前后焦虑、抑郁评分及焦虑、抑郁发生率变化,比较两组患者术后48h睡眠质量情况。结果观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显低于对照组;焦虑、抑郁发生率明显低于对照组;术后48h睡眠质量明显高于对照组。结论中医情志护理有助于缓解老年骨科手术患者术后负性情绪,提高睡眠质量,促进术后康复。

Objective To study the effect of traditional Chinese medicine emotional nursing on the negative mood and sleep quality in elderly orthopedic patients.Methods 104 elderly patients with orthopedic surgery in our hospital from June 2012 to July 2014 were randomly divided into the observation group and the control group according to the visiting sequence.The control group was given the perioperative routine nursing intervention,while on this basis the observation group was combined with the traditional Chinese medicine emotional nursing intervention.The anxiety and depression scores,occurrence rates change of anxiety and depression were observed in the two groups.The postoperative 48 hsleep quality was compared between the two groups.Results The self-rating anxiety scale（SAS）and self-rating depression scale（SDS）scores in the observation group were significantly lower than those in the control group;the incidence rates of anxiety and depression were significantly lower than those in the control group;the postoperative 48 hsleep quality in the observation group was significantly higher than that in the control group.Conclusion The traditional Chinese medicine emotional nursing conduces to alleviate the negative mood in orthopedic surgical patients,improve their sleep quality and promote postoperative recovery.