综合护理干预对骨关节病患者临床疗效及焦虑抑郁情绪的影响

Effects of comprehensive nursing interventions on efficacy and anxiety-depression emotions of osteoarthrosis patients

目的 了解综合护理干预对骨关节病患者临床疗效及焦虑抑郁情绪的影响. 方法 将90例骨关节病患者按随机数字表法分为两组,每组45例.两组均接受骨科常规治疗及护理,研究组在此基础上联合综合护理干预,观察住院全程.于护理前后采用Barthel指数、焦虑自评量表、抑郁自评量表评定患者的日常生活活动功能及焦虑抑郁情绪,并统计不良反应发生状况.结果 研究组优良率为93.3%,对照组为73.3%,研究组显著高于对照组（P〈0.05）.研究组不良反应发生率为6.7%,对照组为13.3%,研究组低于对照组,但差异无统计学意义（P〉0.05）.护理后两组焦虑自评量表、抑郁自评量表评分均较护理前显著降低（P〈0.01）,观察组显著低于对照组（P〈0.01）.结论 综合护理干预能显著改善骨关节病患者的日常生活活动功能,降低不良反应发生率,有效缓解焦虑抑郁情绪.

Objective To survey the effects of comprehensive nursing interventions （CNI） on efficacy and anxiety-depression emotions of osteoarthrosis patients.Methods Ninety osteoarthrosis patients were assigned to two groups of 45 ones each according to random number table.Both groups received routine orthopedic treatment and nursing, on this basis observation group was plus CNI, and whole-course hospitalizations observed.Activities of daily living were assessed with Barthel Index （BI） and anxiety-depression emotions with the Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） before andafter nursing, adverse reactions added up.Results Good rate was respectively 93.3% in observation and 73.3% in control group and the former significantly higher than the latter （P〈0.05）.The incidence of adverse reactions was respectively 6.7% in observation and 13.3% in control group, the former lower than the latter, but group difference had no statistical significance （P〉0.05）.After nursing the SAS and SDS scores of both groups lowered more significantly （P〈0.01） and those were significantly lower in observation than in control group （P〈0.01）.Conclusion CNI could notably improve the activities of daily living of osteoarthrosis patients, lower the incidence of adverse reactions, and effectively relieve anxiety-depression emotions.