基于循证医学理念下的心理护理干预在四肢骨折患者中的应用效果

Application effect of psychological nursing intervention based on the concept of evidence-based medicine in patients with limb fractures

目的探讨基于循证医学理念下的心理护理干预在四肢骨折患者中的应用价值。方法选择2019年10月~2020年10月江西省萍乡市第二人民医院收治的90例四肢骨折手术患者为研究对象,按随机数字表法分为两组,每组各45例。对照组采用常规护理,试验组采用基于循证医学理念的心理护理。比较两组的心理状态、日常生活活动能力、疾病相关知识掌握度及术后发生情况。结果两组干预前的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、日常生活活动能力评估表-巴氏指数(BI)比较,差异无统计学意义(P>0.05);两组干预后的SAS、SDS评分低于干预前,BI评分高于干预前,且试验组的SAS为(39.31±3.22)分、SDS为(41.05±4.13)分,低于对照组的(46.11±4.27)分、(47.23±5.11)分;BI为(79.67±6.21)分,高于对照组的(67.84±5.92)分,差异均有统计学意义(P<0.05);试验组干预后的疾病相关知识掌握度高于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论基于循证医学理念的心理护理干预能改善四肢骨折患者心理状态,减少并发症,提高疾病知识掌握度及日常生活活动能力。

Objective To explore the application value of psychological nursing intervention based on the concept of evidence-based medicine in patients with limb fractures.Methods From October 2019 to October 2020,90 patients with limb fractures who underwent surgeries in the Second People′s Hospital of Pingxiang City,Jiangxi Province were selected as the research subjects.They were divided into two groups by the random number table method,45 cases in each group.The patients in the control group adopted conventional nursing,and the patients in the experimental group adopted psychological nursing based on the concept of evidence-based medicine.The two groups mental state,activities of daily living,mastery of disease-related knowledge and postoperative complications were compared.Results Before the intervention,there were no statistical significances in the self-rating anxiety scale(SAS),the self-rating depression scale(SDS)score,or the asessment of activities of daily living Barthel index(BI)in the two groups(P>0.05).After the intervention,the SAS and SDS scores of the two groups were lower than before the intervention,and the BI score was higher than that before the intervention,the scores of SAS was(39.31±3.22)and SDS was(41.05±4.13)points of the experimental group,lower than those of the control group of(46.11±4.27)and(47.23±5.11)points,the BI was(79.67±6.21)points in the experimental group,higher than that of the control group of(67.84±5.92)points,the differences were statistically significant(P<0.05).The disease-related knowledge)mastery of the experimental group after intervention was higher than that in the control group,the incidence of postoperative complications was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Psychological nursing intervention based on the concept of evidence-based medicine can improve the mental state of patients with limb fractures,reduce complications,and improve the mastery of disease knowledge and the ability of daily living activities.