髋关节置换术治疗股骨颈骨折高龄患者术后情绪障碍的有效护理措施探讨

Exploration on effective nursing measures of postoperative mood disorders for elderly femoral neck fracture patients treated with hip joint replacement

目的分析股骨颈骨折高龄患者经髋关节置换术治疗后情绪障碍的有效护理方法。方法接受髋关节置换术治疗后出现情绪障碍的股骨颈骨折高龄患者500例,随机分为对照组和观察组,每组250例。对照组患者在手术结束后按照常规护理方式对患者进行护理,包括常规生活指导、康复指导等。观察组在术后对患者实施常规护理基础上的心理护理干预。观察比较两组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分情况。结果护理前,观察组患者的SAS评分、SDS评分分别为(66.86±4.21)、(61.35±4.18)分,对照组患者的SAS评分、SDS评分分别为(67.01±4.15)、(60.62±4.31)分;护理后,观察组患者的SAS评分、SDS评分分别为(29.27±2.91)、(26.71±3.94)分,对照组患者的SAS评分、SDS评分分别为(46.91±2.88)、(49.52±4.83)分。两组患者护理前的SAS评分、SDS评分比较,差异无统计学意义(P>0.05)。两组患者护理后的SAS评分、SDS评分均低于护理前,且观察组患者的SAS评分、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论将心理护理干预用于经髋关节置换术治疗的股骨颈骨折高龄患者,能缓解患者负面情绪,值得推广。

Objective To analyze effective nursing measures of postoperative mood disorders for elderly femoral neck fracture patients treated with hip joint replacement. Methods A total of 500 elderly femoral neck fracture patients with postoperative mood disorders treated with hip joint replacement were randomly divided into control group and observation group, with 250 cases in each group. The control group received conventional nursing method after operation, including conventional life guidance and rehabilitation guidance, and the observation group also received psychological nursing intervention. Observation and comparison were made on self-rating anxiety scale（SAS）score, self-rating depress scale（SDS） score. Results Before nursing, the observation group had SAS and SDS score respectively as（66.86±4.21）,（61.35±4.18） points, and the control group had SAS and SDS score respectively as（67.01±4.15）,（60.62±4.31） points; after nursing, the observation group had SAS and SDS score respectively as（29.27±2.91）,（26.71±3.94） points, and the control group had SAS and SDS score respectively as（46.91±2.88）,（49.52±4.83） points. Both groups had no statistically significant difference in SAS and SDS score before nursing（P〉0.05）. Both groups had lower SAS and SDS score after nursing than before nursing, and the observation group had lower SAS and SDS score than the control group, and all differences had statistical significance（P〈0.05）. Conclusion Psychological nursing intervention in elderly femoral neck fracture patients treated with hip joint replacement can relieve negative emotion of patients and worth promotion.