渐进性肌肉放松训练对四肢骨折患者精神心理状态的影响

Effects of progressive muscle relaxation training on sleep and mental state of patients with limb fracture

目的分析四肢骨折患者应用渐进性肌肉放松训练治疗后精神心理状态及睡眠质量变化。方法选取我院2018年6月至2019年9月收治的111例四肢骨折患者作为主要研究对象。采用随机数字表法分组,对照组55例给予心理治疗,在此基础上,观察组56例增加渐进性肌肉放松训练,对比两组患者治疗后抑郁自评量表(self-rating depression scale SDS)、焦虑自评量表(self-rating anxiety scale SAS)、匹茨堡睡眠质量指数量表(pittsburgh sleep quality index scale PSQI)和视觉模拟评分法(visual analogue scale,VAS)评分,及术后肿胀程度变化。结果治疗后,观察组患者SAS、PSQI及SDS评分均低于对照组(P<0.05);观察组患者术后6、12、24及48h的VAS评分低于对照组(P<0.05);观察组患者总肿胀率低于对照组(P<0.05)。结论渐进性肌肉训练能够有效消除四肢骨折患者的焦虑抑郁情绪,降低术后肢体肿胀程度,改善睡眠质量,减轻术后疼痛,值得临床推广应用。

Objective To analyze the effects of progressive muscle relaxation training on sleep and mental state of patients with limb fracture.Methods A total of 111 patients with limb fractures in our hospital from June 2018 to September 2019 were collected and randomly divided into two groups:the control group(55 cases)were given psychological treatment.On this basis,the observation group(56 cases)were given progressive muscle relaxation training.The self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score,pittsburgh sleep quality index scale(PSQI)score and visual analogue scale(VAS)score,and postoperative swelling between the two groups were compared.Results After treatment,the SAS,PSQI and SDS scores in the observation group were lower than those in the control group(P<0.05).The VAS score in the observation group at 6,12,24 and 48h after operation were lower than those in the control group(P<0.05).The total swelling rate in the observation group was lower than that in the control group(P<0.05).Conclusion Progressive muscle training can effectively eliminate the anxiety and depression of patients with limb fractures during perioperative period,reduce the degree of postoperative limb swelling,improve sleep quality,and reduce postoperative pain,which is worthy of clinical application.