护理干预对髋关节置换术患者心理状态及术后并发症的影响

Effect of nursing intervention on psychological state and postoperative complications for patients with hip replacement

目的探讨护理干预对髋关节置换术患者心理状态及术后并发症的影响。方法选取78例髋关节置换术患者,根据随机数字法分为对照组(常规护理)和观察组(护理干预),各39例,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估2组患者护理前后心理状态,并比较2组髋关节功能、术后并发症以及生活质量、满意度。结果观察组护理后SAS及SDS评分均显著低于对照组(P<0.05);观察组术后Harris髋关节功能评分、生活质量评分均显著高于对照组(P<0.05);观察组并发症发生率显著低于对照组,且护理服务满意度显著高于对照组(P<0.05)。结论护理干预能够明显改善髋关节置换术患者的负面情绪,降低术后并发症发生率,提升患者术后生活质量。

Objective To study the effect of nursing intervention on psychological state and postoperative complications for patients with hip replacement. Methods A total of 78 patients with hip replacement in our hospital were randomized into control group （routine nursing） and observation group （nursing intervention） according to random number method, with 39 patients per group. The scores of SAS and SDS before and after nursing were evaluated by anxiety self-rating scale （SAS） and depression self-rating scale （SDS） in two groups. The hip function, the incidence of postoperative complications, life quality scores and satisfaction degree in two groups were compared. Results Compared with the control group, the scores of SAS and SDS were significantly decreased after nurs- ing in the observation group （P 〈 0.05 ） ; Compared with the control group, the Harris scores of hip function and the scores of life quality were significantly improved in the observation group （P 〈 0.05 ） ; Compared with the control group, the incidence of postoperative complications was obviously reduced and the patients＇satisfaction degree was significantly improved in the observation group （P 〈 0.05）. Conclusion The nursing intervention can significantly adjust the negative emotions for patients with hip replacement, reduce the incidence of postoperative complications, and improve the patients＇life quality.