104名骨与关节损伤舰艇官兵的心理护理研究

Research on psychological nursing of 104 navy personnel with bone and joint lesion

目的 通过对骨与关节损伤术后的舰艇官兵患者进行筛查与心理护理干预,并评估其效果,为建立有效的舰艇官兵心理护理干预策略模式提供实验依据.方法 采用事件影响量表（IES-R）、汉密尔顿焦虑量表（HAMA）对接受骨与关节损伤手术的104例舰艇官兵进行心理评估,以其中HAMA总分14分以上且自愿参加研究的80例患者作为研究对象,采用数字表法随机分为实施联合心理护理的实验组和实施基础护理的对照组,每组各40例.护理1周后,分别对实验组及对照组实施IES-R及HAMA测评,进行对比研究,评估联合心理护理的干预效果.结果 （1）实验组IES-R得分,干预前（44.25±3.12）与干预后（20.38±1.69）比较,差异具有统计学意义（P＜0.05）.（2）干预后的IES-R得分,实验组（20.38 ± 1.69）与对照组（40.95 ±2.55）比较,差异具有统计学意义（P＜0.05）.（3）实验组HAMA得分,干预前（18.62 ±2.42）与干预后（6.54±1.55）比较,差异具有统计学意义（P＜0.05）.（4）干预后的HAMA得分,实验组（6.54±1.55）与对照组（15.28 ±1.99）比较,差异具有统计学意义（P＜0.05）.结论 对骨与关节损伤的舰艇官兵实施联合心理护理干预,能够有效纠正、缓解骨与关节损伤术后的应激、焦虑,使其身心得到更好的康复,是进行心理护理干预的有效方法.

Objective To evaluate the effects of psychological nursing intervention in the navy shipboard personnel who received surgery due to bone and joint lesion,so as to provide solid evidence for the development of effective psychological intervention mode.Methods Incident event scale （IES-R） and Hamilton anxiety scale （HAMA） were used to make psychological evaluation in the 104 post-surgical navy shipboard personnel who received surgery due to bone and joint lesion.Eighty patients who voluntarily took part in the research and with the HAMA scores of over 14 were selected as the research subjects.The subjects were randomly divided into the experimental group that received combined psychological nursing,and the control group that received basic nursing,each consisting of 40.Following one week of nursing care,scores of IES-R and HAMA were evaluated respectively in the patients of the 2 groups,and comparisons were made in the obtained results to evaluate the effects of combined psychological intervention.SPSS 13.0 statistical software package was used for statistical analysis.Results （1） When comparisons were made between preintervention （44.25 ±3.12）and post-intervention data,statistical significance could be seen in the scores of IES-R for the experimental group（P 〈0.05）.（2） The scores of IES-R after intervention for the experimental group and the control group were respectively（20.38 ± 1.69）and（40.95 ±2.55）,and statistical significance could be noted when comparisons were made between them （P 〈 0.05）.（3） When HAMA scores before intervention （18.62 ± 2.42） were compared with those after intervention （6.54 ± 1.55）,statistical significance could be seen in the experimental group（P 〈 0.05）.（4） Following intervention,the scores of HAMA for the experimental group and the control group were respectively （6.54 ± 1.55）and （15.28 ± 1.99）,and statistical significance could be seen when comparisons were made between them（P 〈 0.05）.Conclusions Combined psychological nursing intervention in the navy shipboard personnel with bone and joint lesion could effectively remedy and alleviate the stress and arxiety experienced by those shipboard personnel following surgery,and facilitate early recovery of physical and mental conditions.