围手术期系统护理对股骨干骨折患儿不良心理状态及生活质量的影响研究

Influence of Perioperative Systematic Nursing on Adverse Psychological State and Quality of Life in Children with Femoral Shaft Fracture

目的分析股骨干骨折患儿应用围手术期系统护理的干预效果,以及对其不良心理状态、生活质量的影响。方法2019年1月至2022年1月,我院将此时间段收治的股骨干骨折患儿80例作为本次的研究对象,将患者随机分为对照组(40例,在围手术期采取常规护理)与观察组(40例,在对照组的基础上采取围手术期系统护理)。比较两组患儿护理前后的护理干预效果差异(表现在4个方面:临床治疗相关指标差异、膝关节功能评分差异、术后疼痛评分差异、护理满意率差异)以及心理状态差异、生活质量差异。结果与对照组的总有效率、护理满意率、HSS量表各维度评分相比,观察组总有效率、护理满意率、HSS量表各维度评分均更高(P<0.05)。与对照组的总并发症发生率相比,观察组总并发症发生率更低(P<0.05)。与对照组的临床治疗相关指标相比,观察组的首次下床时间、首次排气时间、住院时长均更短,住院费用更少(P<0.05);而两组的术中出血量、手术总时长比较差异无显著性(P>0.05)。与对照组术后第3天VAS评分相比,观察组的VAS评分明显更低(P<0.05)。与对照组不良情绪发生情况相比,观察组发生不良情绪的例数明显更少,HAMD评分、HAMA评分明显更低,差异有显著性(P<0.05)。与对照组护理后的生活质量各维度评分相比,观察组的社会关系、生活功能、生活能力、心理健康评分均更高,差异有显著性(P<0.05)。结论股骨干骨折患儿在围手术期采用系统护理有显著的护理干预效果,能够有效缓解其不良心理状态,提高其生活质量。

Objective To analyze the intervention effect of perioperative systematic nursing in children with femoral shaft fracture,and the influence on their poor psychological state and quality of life.Methods From January 2019 to January 2022,80 children with femoral shaft fractures treated in our hospital during this period were selected as the subjects of this study,and they were randomly divided into the control group(40 cases,receiving routine care during the perioperative period)and the observation group(40 cases,on the basis of the control group,took perioperative system nursing).The differences in nursing intervention effects before and after nursing were compared between the two groups(in 4 aspects:differences in clinical treatment-related indicators,differences in knee function scores,differences in postoperative pain scores,and differences in nursing satisfaction rates),as well as differences in psychological state and quality of life.Results Compared with the total effective rate,nursing satisfaction rate,and the scores of each dimension of the HSS scale in the control group,the observation group had higher total effective rate,nursing satisfaction rate,and the scores of each dimension of the HSS scale(P<0.05).Compared with the total complication rate of the control group,the complication rate of the observation group was lower(P<0.05).Compared with the clinical treatment-related indicators of the control group,the first time to get out of bed,exhaust time,and length of hospital stay in the observation group were shorter,and the hospitalization cost was lower(P<0.05).There was no significant difference in time duration(P>0.05).Compared with the VAS score of the control group on the 3rd day after operation,the VAS score of the observation group was significantly lower(P<0.05).Compared with the occurrence of adverse emotions in the control group,the number of children with adverse emotions in the observation group was significantly lower,the HAMD score and HAMA score were significantly lower,and the difference was significant(P<0.05).Compared with the scores of each dimension of quality of life after nursing in the control group,the scores of social relations,life function,living ability and mental health of the observation group were all higher,and the difference was significant(P<0.05).Conclusion Systemic nursing in the perioperative period for children with femoral shaft fracture has a significant effect of nursing intervention,which can effectively relieve their bad psychological state and improve their quality of life.