个性护理对于锐器伤患者生活质量及心理状态的影响

The influence of individualized nursing on the quality of life and mental state of patients with sharp injury

目的探究个性护理对锐器伤患者生活质量及心理状态的影响。方法选择2017年3月—2019年3月在本院进行治疗的60例锐器伤患者作为研究对象,采用便利抽样法分为对照组和实验组两组,每组各30例。对照组患者实施常规护理,实验组患者在对照组基础上增加个性护理。使用焦虑自评量表(SAS)、抑郁自评量表(SDS)在干预前和干预15 d后评估两组患者焦虑抑郁情况,使用PTSD量表(CAPS)在术后7 d和28 d评估两组患者PTSD阳性率,使用医院自制调查表统计测评两组患者干预15 d后对护理服务的满意度。结果干预前两组患者SAS、SDS评分差异无统计学意义(P>0.05),干预15 d后实验组SAS、SDS得分均低于对照组,差异具有统计学意义(P<0.05);术后7 d、28 d实验组患者PTSD阳性率均低于对照组,差异有统计学意义(P<0.05);干预15 d后,实验组患者对护理服务满意度高于对照组,差异有统计学意义(P<0.05)。结论个性化护理可以缓解患者焦虑、抑郁的心理情绪,减少PTSD的发生,并且可以提高患者对护理服务的满意度,具有较好的临床效果。

Objective To investigate the influence of individualized nursing on the quality of life and mental state of patients with sharp injury.Methods A total of 60 patients with sharp injury who were treated in our hospital from March 2017 to March 2019 were selected as the research objects,and they were randomly divided into a control group and an experimental group,with 30 patients in each group.Patients in the control group received routine nursing care,and the patients in the experimental group were given personalized nursing care based on the control group.Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were respectively used to evaluate the anxiety and depression of the two groups of patients before intervention and 15 days after the intervention;the PTSD scale(CAPS)was used to assess the positive rate of PTSD of the patients on the 7th and 28th day after the operation;the hospital self-made questionnaire was used to statistically evaluate the satisfaction of the two groups of patients with nursing services after 15 days of intervention.Results Before the intervention,the differences in SAS and SDS scores between the two groups of patients were not statistically significant(P>0.05).After 15 days of intervention,the scores of SAS and SDS of the experimental group were lower than those of the control group,the differences were statistically significant(P<0.05).The positive rate of PTSD in the experimental group was lower than that of the control group on the 7th and 28th day after operation,the difference was statistically significant significant(P<0.05);After 15 days of intervention,patients in the experimental group were more satisfied with nursing services than the control group,and the difference was statistically significant(P<0.05).Conclusions Personalized nursing could relieve their anxiety and depression,reduce the occurrence of PTSD,and could improve patients'satisfaction with nursing services.It has good clinical effects and is worth of promotion.