情志干预模式应用于老年骨折手术患者的效果

The effect of emotional intervention mode on stress response and anxiety/depression in elderly patients with fracture surgery

目的探讨情志干预模式对老年骨折手术患者应激反应及焦虑、抑郁的影响。方法采用随机数字表法将我院93例老年骨折行手术治疗的患者分为两组,对照组46例给予常规围术期干预,观察组47例联合情志干预,对比两组患者手术时间、术中配合度、生理应激指标水平变化、睡眠质量、焦虑抑郁情绪及术后不良事件发生率。结果观察组术中配合度评分高于对照组,观察组手术时间、NE、Cor、E水平、PSQI、SDS、SAS评分及不良事件发生率均低于对照组(P<0.05)。结论情志干预模式能够有效调节老年骨折手术患者应激反应,改善焦虑抑郁情绪及睡眠质量,患者治疗依从性高,术后并发症少。

Objective To investigate the effect of emotional intervention mode on stress response and anxiety/depression in elderly patients with fracture surgery. Methods A total of 93 patients with senile fractures in our hospital were enrolled in this study. A total of 46 patients in the control group received routine perioperative intervention.47 patients in the observation group were treated with emotional intervention. The operation time,intraoperative cooperation,the level of physiological stress indicators,sleep quality,anxiety and depression,and the incidence of postoperative adverse events were compared between the two groups. Results The intraoperative fitness score in the observation group was higher than that in the control group. The operation time,NE,Cor,E level,PSQI,SDS,SAS score and adverse event rate in the observation group were lower than those in the control group(P<0.05). Conclusion The emotional intervention model can effectively regulate the physiological stress response in elderly patients with fracture surgery,improve anxiety and depression and sleep quality. The patient has high treatment compliance and less postoperative complications.