强化疼痛护理对围术期骨折患者焦虑抑郁与睡眠质量的影响

Effect of Intensive Pain Nursing on Anxiety,Depression and Sleep Quality in Patients with Perioperative Fracture

目的:探究疼痛护理对围术期骨折患者焦虑抑郁与睡眠质量的影响。方法:选取2017年1月至2018年1月山东省费县人民医院收治的骨折患者81例,按照随机数表法随机分为观察组(n=40)和对照组(n=41)。对照组患者给予常规护理及疼痛干预,观察组患者在对照组的基础上给予强化疼痛护理。对护理前后2组患者焦虑抑郁情况及睡眠质量情况进行比较。结果:护理前2组患者HAMA、HAMD评分差异无统计学意义(P> 0. 05),护理后观察组患者HAMA、HAMD评分显著低于对照组,差异有统计学意义(P <0. 05);护理前2组患者PSQI评分差异无统计学意义(P> 0. 05),护理后观察组患者PSQI评分较对照组低,差异有统计学意义(P <0. 05)。结论:强化疼痛护理可以有效改善围术期骨折患者焦虑抑郁情绪和睡眠质量。

Objective： To explore the effects of pain nursing on anxiety, depression and sleep quality in patients with perioperative fractures. Methods： A total of 81 patients with fractures admitted to our hospital from January 2017 to February 2018 were selected. The patients were randomly divided into 2 groups according to the random number table meth-od. 40 patients in the observation group and 41 patients in the control group. Patients in the control group were given routine care and pain interventions. Patients in the observation group were given intensive pain care on the basis of the control group. The anxiety and depression and sleep quality of the two groups were compared before and after treatment. Results ： Before treatment, there was no significant difference in HAMA and HAMD scores between the two groups （P 〉 0. 05 ） . After nursing, the HAMA and HAMD scores of the observation group were significantly lower than those of the control group, the difference was statistically significant （ P 〈 0. 05 ） . Before treatment, there was no significant difference in PSQI score between the two groups （P 〉 0. 05） . After nursing, the PSQI score of the observation group was lower than that of the control group, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion ： Intensive pain care can effectively improve anxiety, depression and sleep quality in patients with perioperative fractures.