强化护理联合循证护理干预对行膝关节置换术的骨肉瘤病人负性情绪、睡眠质量及肢体功能的影响

Influence of intensive nursing combined with evidence-based nursing on negative emotion,sleep quality and limb function of patients with knee osteosarcoma undergoing knee replacement

[目的]探讨强化护理联合循证护理干预对行膝关节置换术的骨肉瘤病人负性情绪、睡眠质量以及肢体功能的影响。[方法]选择2014年5月—2016年5月收治的120例行膝关节置换术的骨肉瘤病人,按照护理方式不同分成两组,对照组(n=60)给予常规护理与循证护理干预,观察组(n=60)在常规护理基础上给予强化护理及循证护理干预,观察不同护理方式对病人负性情绪、睡眠质量以及肢体功能的影响。[结果]干预后观察组病人汉密尔顿抑郁量表评分(10.22分±2.01分)、汉密尔顿焦虑量表评分(8.45分±2.14分)以及视觉模拟评分(3.11分±1.24分)低于对照组(17.32分±3.45分、15.75分±3.67分、4.98分±2.51分),两组比较差异有统计学意义(P<0.05);干预后观察组病人匹兹堡睡眠质量指数量表(PSQI)评分(5.23分±1.64分)低于对照组(7.54分±2.84分),膝关节功能评分(86.57分±18.65分)高于对照组(72.63分±16.24分),两组比较差异有统计学意义(P<0.05);干预后观察组病人对护理工作满意度(98.33%)高于对照组(80.00%),两组比较差异有统计学意义(χ~2=10.439,P<0.05)。[结论]强化护理联合循证护理干预可促进膝关节置换术骨肉瘤病人肢体功能的恢复,提高病人的睡眠质量与护理满意度,同时还能减轻其负性情绪。

Objective：To explore the effect of intensive nursing combined with evidence-based nursing on negative emotion,sleep quality and limb function of patients with knee osteosarcoma undergoing knee replacement.Methods：A total of 120 cases of osteosarcoma patients treated with knee arthroplasty from May 2014 to May 2016 were selected.According to the different nursing methods,they were divided into two groups.The patients in control group（n=60）received routine nursing and evidence-based nursing intervention.The patients in observation group（n=60）received intensive care and evidence-based nursing intervention.The effects of different nursing methods on negative emotion,sleep quality and body function of the patients were observed.Results：The observation group after the intervention of patients with Hamilton Depression Scale score（10.22±2.01）,Hamilton Anxiety Scale score（8.45±2.14）and visual analogue scale（3.11±1.24）,were lower than that in control group（17.32±3.45）（15.75±3.67）（4.98±2.51）,there was statistical significant difference between two groups（P〈0.05）.After intervention,the Pittsburgh Sleep Quality Index score of observation group（5.23±1.64）was lower than that in control group（7.54±2.84）,knee function score（86.57±18.65）was higher than that in control group（72.63±16.24）,there was statistical difference between two groups（P〈0.05）.After the intervention,the nursing satisfaction of the observation group（98.33%）was higher than that of the control group（80.00%）,there was statistical significant difference between two groups（χ^2=10.439,P 0.05）.Conclusions：Intensive care combined with evidence-based nursing intervention can promote limb function recovery of patients with osteosarcoma after total knee arthroplasty,improve sleep quality and nursing satisfaction,and alleviate their negative emotions.