情志护理对老年骨折患者术后应激反应与睡眠质量的改善效果研究

Study on the Improvement Effect of Emotional Nursing for Postoperative Stress Response and Sleep Quality of Elderly Patients with Fracture

目的:探究情志护理对老年骨折手术患者应激反应与睡眠质量的影响。方法:选取2019年5至9月厦门大学附属第一医院的老年骨折手术患者94例作为研究对象,随机分为对照组和观察组,每组47例。对照组进行常规护理,观察组进行情志护理。比较2组的应激反应(血液去甲肾上腺素、肾上腺素和肾素水平)及睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分。结果:观察组患者的去甲肾上腺素、肾上腺素和肾素水平均显著低于对照组,差异有统计学意义(P<0.05);护理前2组的PSQI评分比较,差异无统计学意义(P>0.05),护理后观察组的PSQI评分显著低于对照组,差异有统计学意义(P<0.05)。结论:情志护理干预可显著改善老年骨折手术患者的应激反应,提高睡眠质量。

Objective:To explore the influence of emotional nursing for stress response and sleep quality of elderly patients with fracture surgery.Methods:A total of 94 elderly patients with fracture surgery in First Affiliated Hospital of Xiamen University from May 2019 to September 2019 were divided into control group and observation group by cluster randomization.The control group were with routine nursing,while the observation group were with emotional nursing.Then the stress response(norepinephrine,adrenaline and renin)and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]score of two groups were compared.Results:The norepinephrine,adrenaline and renin of observation group were lower than those of control group,there were statistically significant differences(P<0.05);the sleep scores of two groups before nursing were compared,there was statistically significant difference(P>0.05),the sleep scores of observation group after nursing was significantly lower than that of control group,there was statistically significant difference(P<0.05).Conclusion:The emotional nursing intervention can effectively improve the stress response and sleep quality of elderly patients with fracture surgery.