基于音乐治疗的心理护理对老年髋部骨折患者术后康复训练效果的影响

Effect of psychological nursing based on music therapy on postoperative rehabilitation training of elderly hip fracture patients

目的研究基于音乐治疗的心理护理对老年髋部骨折患者术后康复训练效果的影响,为患者的康复护理提供指导。方法选取2016年3月至2018年10月期间宝鸡市中医医院骨关节科收治的100例老年髋部骨折患者进行研究,根据随机数表法将患者均分为对照组和观察组各50例。对照组采取常规的护理方式进行护理,观察组采取音乐治疗及心理护理。比较两组患者护理后的疗效,以及治疗前后的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及髋关节功能(Harris)评分、世界卫生组织生存质量测定问卷(WHO-QOL-BREF)评分。结果观察组患者的治疗总有效率为98.0%,明显高于对照组的74.0%,差异有统计学意义(P<0.05);护理前,两组患者的SAS评分、SDS评分比较差异均无统计学意义(P>0.05),护理后,观察组患者的SAS评分和SDS评分分别为(45.10±3.69)分、(43.10±2.29)分,明显低于对照组的(53.90±4.19)分和(52.39±4.10)分,差异均有统计学意义(P<0.05);护理前,两组患者的Harris评分比较差异无统计学意义(P>0.05),护理后,观察组患者的Harris评分为(76.39±1.30)分,明显高于对照组的的(58.78±1.20)分,差异有统计学意义(P<0.05);观察组和对照组患者的心理功能[(46.27±3.66)分vs(40.71±4.43)分]、躯体功能[(61.31±2.85)分vs(53.81±4.08)分]、生活质量[(67.76±2.77)分vs(63.21±3.71)分]、社会功能[(60.65±3.01)分vs(50.32±5.51)分]、物质生活[(51.80±4.22)分vs(49.87±3.61)分]评分比较,观察组均明显高于对照组,差异均有统计学意义(P<0.05)。结论基于音乐治疗的心理护理能够提高老年髋部骨折患者术后康复训练效果,改善患者的焦虑情绪及生活质量,值得临床推广应用。

Objective To study the effect of psychological nursing based on music therapy on rehabilitation training of elderly patients with hip fracture after operation, and to provide guidance for rehabilitation nursing of patients. Methods A total of 100 elderly patients with hip fracture, who admitted to Department of Orthopedics, Baoji Hospital of Traditional Chinese Medicine from March 2016 to October 2018, were selected and divided into the control group and observation group according to random number table method, with 50 cases in each group. The control group received routine nursing care, while the observation group received music therapy and psychological nursing. The curative effect after nursing was compared between the two groups, as well as the scores of SAS, SDS, Harris and WHO-QOL-BREF before and after treatment. Results The total effective rate of the observation group was 98.0%,which was significantly higher than 74.0% of the control group(P<0.05). Before nursing, there was no significant difference in SAS score and SDS score between the two groups(P>0.05). After nursing, the SAS and SDS scores of the patients in the observation group were 45.10±3.69 and 43.10±2.29 respectively, which were significantly lower than corresponding 53.90±4.19 and 52.39±4.10 of the control group(all P<0.05). Before nursing, there was no significant difference in Harris score between the two groups(P>0.05). After nursing, the Harris score of the observation group was 76.39±1.30, which was significantly higher than 58.78±1.20 of the control group(P<0.05). The scores of psychological function, physical function, quality of life, social function, material life in the observation group were 46.27 ± 3.66,61.31 ± 2.85, 67.76 ± 2.77,(60.65 ± 3.01), 51.80 ± 4.22, respectively, which were significantly higher than corresponding 40.71±4.43, 53.81±4.08, 63.21±3.71, 50.32±5.51, 49.87±3.61 in the control group(all P<0.05). Conclusion Psychological nursing based on music therapy can improve the effect of rehabilitation training, anxiety and quality of life of elderly patients with hip fracture, which is worthy of clinical application.