叙事护理干预对下肢骨关节置换术后患者焦虑、抑郁及创伤后成长的影响

Effect of narrative nursing on anxiety,depression and post-traumatic growth of patients after lower limb arthroplasty

目的:探究叙事护理干预对下肢骨关节置换术后患者焦虑、抑郁及创伤后成长的影响。方法:将86例行下肢骨关节置换术患者随机分为观察组和对照组,各43例。对照组实施常规护理,观察组在此基础上实施叙事护理。观察比较两组患者干预前后焦虑、抑郁及创伤后成长情况。结果:干预前,两组患者焦虑、抑郁及创伤后成长比较差异无统计学意义(P>0.05);干预后,观察组患者各项得分均明显优于干预前(P<0.01);对照组患者干预后焦虑、抑郁得分低于干预前(P<0.01),创伤后成长得分与干预前比较差异无统计学意义(P>0.05);观察组患者干预后焦虑、抑郁得分低于对照组,创伤后成长得分高于对照组(P<0.01)。结论:叙事护理可有效改善下肢骨关节置换术后患者心理状态,提高其创伤后成长水平,是一种较理想的心理健康促进方法。

Objective:To explore the effect of narrative nursing on anxiety,depression and post-traumatic growth of patients after lower limb arthroplasty.Methods:86 patients undergoing lower limb arthroplasty were randomly divided into observation group and control group with 43 cases in each group.The patients in control group were given routine nursing,while the patients of observation group were given narrative nursing.The occurrence of anxiety,depression and the conditions of post-traumatic growth were compared before and after intervention between the two groups.Results:There was no significant difference in anxiety,depression and post-traumatic growth between the two groups before intervention(P>0.05).After intervention,the scores of anxiety,depression in the observation group were significantly better than those in the control group(P<0.01).Conclusion:Narrative nursing can effectively improve the psychological state and post-traumatic growth level of patients after lower limb arthroplasty.It is an ideal method to promote mental health.