个体化护理方案对断肢再植病人负性情感及社会功能的影响

The Effect of Individualized Care Regimens on Negative Emotions and Social Functions in Patients with Replantation of Limbs

目的研究个体化护理方案对于断肢(指)再植患者负性情感以及社会功能的影响。方法在2013年2月至2015年10月来我院接受断肢(指)再植手术治疗的患者中选出96例为研究对象,以随机方式分组,对照组患者围术期给予常规护理,观察组患者则给予个体化护理方案,对比两组患者的HAMD、HAMA评分以及社会功能变化情况。结果观察组患者入院7天时的HAMD评分、HAMA评分均低于对照组,且SDSS量表的各个方面指标值优于对照组,P<0.05;观察组患者的护理满意度100%比对照组的87.5%高,P<0.05。结论对断肢再植患者应用个体化护理方案有助于纾解患者的负性情绪,促进患者社会功能的恢复,值得推广。

Objective To study the effect of individualized care regimens on negative emotions and social function in patients with replantation of the limbs（ fingers）. Methods 96 patients were selected in our hospital from February 2013 to October 2015 and randomly divided into control group and observation group. The patients in the control group were given routine nursing,while those in the observation group were treated with a biology-psycho-social model nursing service. Then comparison was carried out in terms of the HAMD score,HAMA score and social function. Results The HAMD score and HAMA score of the observation group were lower than those of the control group on the 7 th day after admission,and the indexes of all the items in SDSS scale were superior to those in the control group（ P 〈0. 05）. In addition,the patients’ satisfaction with nursing service in the observation group was 100. 00%,which was higher than that in the control group（ 87. 5%,P 〈0. 05）. Conclusion The biology-psychosocial-based nursing service to the patients with limbs replantation can help relieve the patients’ negative emotions and promote the recovery of social function,worthy of popularization.