阶段性心理护理对车祸伤所致骨损伤患者负性情绪及社会支持度的改善效果评价

Effect of staged psychological nursing on the improvement of negative emotion and social support in patients with bone injury caused by traffic accident

目的探讨阶段性心理护理对车祸伤所致骨损伤患者负性情绪及社会支持度的改善效果。方法选取2016年2月至2017年1月进行入院治疗的80例车祸伤所致骨损伤患者，采取随机数字表法分为对照组和观察组，每组40例。对照组患者接受常规护理措施，观察组患者在对照组患者护理基础上，接受阶段性心理干预，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）以及社会支持评定量表（SSRS）比较2组患者干预前后负性情绪发生情况以及社会支持度等指标差异。结果观察组患者干预后SAS、SDS评分分别为（33．28±4．19）、（35．71±5．18）分，均低于对照组的（36．41±4．15）、（38．12±5．03）分，差异有统计学意义（t=6．08、1．96，P〈0．01）。观察组患者干预后客观社会支持、主观社会支持以及对社会支持度评分分别为（20．17±2．65）、（24．81±2．84）、（15．83±2．05）分，均高于对照组的（16．11±2．54）、（18．24±2．76）、（12．34±2．01）分，差异有统计学意义（t=7．14、9．13、7．32，P〈0．01）。结论阶段性心理护理可明显改善车伤所致骨折患者的心理状态，降低抑郁、焦虑的发生率，促进患者恢复，值得临床应用及推广。

Objective To explore the effect of staged psychological nursing on negative emotion and social support in patients with bone injury caused by traffic accident. Methods Totally 80 cases of bone injuries caused by traffic accident from February 2016 to January 2017 were selected as the subjects. The randomized digital table method was used to randomly assign patients and divided into the control group and the observation group according to the principle of random allocation,40 patients in each group. The control group received routine care measures, while the observation group received staged psychological intervention on the basis of nursing care of the patients in the control group.Self-rating Anxiety Scale（SAS）,Self-rating Depression Scale（SDS） and Social Support Rating Scale （SSRS） were used to compare the difference between two groups of patients before and after intervention, such as negative emotion and social support. Results The observation group were treated by staged psychological nursing intervention, the SAS and SDS scores were （33.28 ＋_ 4.19）,（35.71 ~ 5.18） points, which were significantly lower than control group（36.41±4.15）,（38.12±5.03） points, the differences were significant（t = 6.08, 1.96, P 〈 0.01）. The observation group of patients with objective social support,subjective social support and social support scores were （20.17±2.65）, （24.81 ±2.84）, （15.83 ±2.05） points, which were higher than the control group（16.11±2.54）, （18.24±2.76）, （12.34±2.01） points, the difference were statistically signifieant（t =7.14, 9.13, 7.32, P 〈 0.05）. Conclusions Staged psychological nursing can obviously improve the mental status of patients with fracture caused by car injury,reduce the incidence of depression and anxiety, and promote the recovery of patients.h is worthy of clinical application and promotion.