心理疏导干预对截肢患者治疗的影响

Effects of Psychological Intervention on the Treatment of the Amputated Patients

目的分析心理疏导干预对四肢骨折后截肢患者治疗依从性和焦虑抑郁程度的影响效果。方法将平煤神马医疗集团总医院骨科2016年9月~2017年9月收治的74例四肢骨折后截肢患者作为研究对象,采用掷币法将患者随机分为对照组、研究组,各37例。对照组给予常规护理,研究组给予心理疏导干预。观察比较两组患者护理前后焦虑度(SAS)、抑郁度(SDS)变化、治疗依从性等。结果研究组、对照组用药依从性分别为94.59%、81.08%,差异有统计学意义(P<0.05);研究组的焦虑度(SAS)、抑郁度(SDS)较护理前明显降低且优于对照组(P<0.05)。结论心理疏导干预能够有效缓解患者术前、术后焦虑、抑郁等负性情绪,减轻疼痛感,提高治疗依从性,值得应用。

Objective To analyze the effects of psychological intervention on the treatment compliance and the degree of anxiety and depression in the amputated patients after the limbs fracture in the department of orthopedics. Method 74 cases of patients with amputated patients after the limbs fracture in our hospital from September 2016 to September 2017 were selected and divided randomly into control group and study group according to coin throwing method. The patients in control group received routine nursing, and the patients in study group received psychological intervention on the basis of the control group. The anxiety degree（SAS）, depressive degree（SDS） and treatment compliance were compared before and after nursing in the two groups. Results The compliance of the study group and the control group were 94.59% and 81.08% respectively, and the difference was statistically significant（P 0.05）. The degree of anxiety（SAS） and depressive degree（SDS） of the study group were significantly lower than those before treatment, and also significantly lower than those of the control group（P 0.05）. Conclusion Psychological intervention could not only effectively relieve patients＇ anxiety, depression and other negative emotion, but also relieve pains and improve the compliance of treatment. Therefore, it was worth of promoting.