系统心理护理在高龄柯雷骨折患者急诊闭合复位治疗期间的干预效果及对患者负性情绪的影响

Effects of Systematic Psychological Nursing Intervening in Elderly Colles' Fracture Patients with Emergency Closed Reduction Therapy and Its Influence on Patients' Negative Emotions

目的探究系统心理护理在高龄柯雷骨折患者急诊闭合复位治疗期间的干预效果及对患者负性情绪的影响。方法将2015年12月至2016年12月行闭合复位治疗的220例柯雷骨折急诊患者采用随机数表法分为研究组和对照组,每组各110例。2组均于治疗期间使用传统护理方式进行干预;研究组在此基础上加用系统心理护理措施。对比2组干预效果[舒适度量表(GCQ量表)、视觉模拟评分(VAS评分)]及护理工作满意率,观察其干预前后负面情绪[医院焦虑抑郁量表(HADS评分)、焦虑自评量表(SAS评分)]评估结果差异。结果研究组GCQ评分、护理工作总满意率均高于对照组(P<0.05),VAS评分低于对照组(P<0.05);干预后,2组SAS评分、HADS评分均较干预前下降(P<0.05),且研究组降幅大于对照组(P<0.05)。结论系统心理护理能提高患者急诊治疗时舒适度,减轻疼痛感,对缓解患者不良情绪有益。

Objective To study the effects of systematic psychological nursing intervening in elderly colles'fracture patients with emergency closed reduction therapy as well as its influence on the patients'negative emotions.Methods220cases of elderly colles'fracture patients with emergency closed reduction therapy were randomly divided into research group and contrast group with each group110cases.Patients in both groups were given conventional nursing intervention during the treatment period.Meanwhile,patients in the research group were given systematic psychological nursing intervention.Compare the intervention effects including GCQ and VAS as well as the nursing satisfaction rate.Observe the negative emotions of before and after intervention including HADS and SAS.Evaluate the difference.Results The GCQ and nursing satisfaction rate in the research group were all higher than the contrast group(P约0.05),while the VAS in the research group was lower than the contrast group(P约0.05).After intervention,theSAS and HADS in both groups were more decreased than those before intervention(P约0.05).And the decreasing range in the re原search group was larger than the contrast group(P约0.05).Conclusion The systematic psychological nursing helps to improve the e原mergency patients'comfort level,relieve the pains and do good to remitting the patients'negative emotions.