心理护理干预对老年骨折术后并发急性应激障碍的疗效

Effect of psychological nursing intervention on acute stress disorder after fracture operation in elderly patientss

目的研究心理护理干预对老年骨折术后并发急性应激障碍的临床效果分析。方法选取我院从2013年4月至2015年3月收治的老年骨折术后并发急性应激障碍的患者90例,采用随机数字表法将上述患者分为观察组(45例)和对照组(45例);对照组采取常规护理,观察组在常规护理的基础上合并心理护理干预,观察对比两组患者的护理满意率、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、精神护理观察量表(IRPOS)评分以及并发症发生情况。结果两组患者护理干预前HAMA、HAMD和IRPOS评分,组间无明显差异(P>0.05)。护理后两组患者的上述量表评分均降低,且观察组的HAMD评分,HAMD评分以及IRPOS评分明显低于对照组(P<0.05)。观察组的护理满意率(100.00%)高于对照组(88.89%)(P<0.05);观察组的并发症发生率(11.11%)低于对照组(28.89%)(P<0.05)。结论老年骨折术后并发急性应激障碍患者应用心理护理干预后焦虑抑郁等负性情绪得到明显缓解,提高护理满意率,减少并发症的发生,因此值得在临床上进一步推广应用。

Objective To explore the effect of psychological nursing intervention on acute stress disorder after fracture operation in elderly patients. Methods 90 elderly patients with acute stress disorder after fracture operation treated in our hospital from April 2013 to March 2015 were selected and were divided into control group and observation group randomly,45 cases for each group. These patients in the control group were given routine nursing measures and those patients in the observation group received psychological nursing intervention on the basis of the routine nursing. Then the nursing satisfaction rate and complication situations as well as scores of HAMA ,HAMD and IRPOS between the two groups were evaluated and compared. Results There was no significant differences of scores of HAMA ,HAMD and IRPOS between the two groups before intervention （ P〉 0.05 ） .After intervention, the scores of the scales above in the two groups were both lower than that before intervention （P 〈 0.05）, meanwhile the scores of these scales above in the observation group were significantly lower than that in the control group （P 〈 0.05）.After nursing intervention,the nursing satisfaction rate of the observation group （ 100.00% ） were significantly higher than that in the control group （ 88.89% ） （P 〈 0.05）. And Complication rate of of the observation group （ 11.11% ） were significantly lower than that in the control group （ 28.89% ） （P 〈 0.05）. Conclusion The application of psychological nursing intervention on elderly patients with acute stress disorder after fracture operation can improve the negative emotions such as anxiety and depression, also increase the nursing satisfaction rate and reduce complication rate. Therefore, it is worthy of application.