中医情志护理联合康复训练对胫骨骨折患者应激障碍、生活质量、焦虑情绪的影响分析

Analysis of the Influence of Traditional Chinese Medicine Emotional Nursing Combined with Rehabilitation Training on Stress Disorder,Quality of Life,Anxiety of Tibial Fracture Patients

目的评价中医情志护理+康复训练的应用效果及对在胫骨骨折患者应激障碍、生活质量、焦虑情绪方面的影响,以促进骨科患者康复。方法选择我院骨科2018年3月至2019年4月收治治疗的发生应激障碍的胫骨骨折患者66例,在治疗的基础上进行对照组、试验组护理随机分组,各组均33例患者,分别采取常规护理+心理护理、常规护理+心理护理+中医情志护理+康复训练。采用创伤后应激障碍自评量表(PCL-C)评估患者的应激障碍,采用汉密尔顿焦虑量表(HAMA)评估患者的焦虑情绪,采用健康调查简表(SF-36)评估患者的生活质量。对比对照组与试验组应激障碍胫骨骨折患者应激障碍、生活质量、焦虑情绪状况。结果在应激障碍评分方面,护理后两组胫骨骨折患者应激障碍评分低于干预前,且试验组明显低于对照组,差异显著(P<0.05);在生活质量评分方面,护理后试验组胫骨骨折患者生活质量评分明显高于对照组,P<0.05;在焦虑评分方面,护理后试验组胫骨骨折患者焦虑评分明显低于对照组,P<0.05。结论在常规护理与心理干预的基础上给予应激障碍胫骨骨折患者中医情志护理联合康复训练,可以促进患者应激障碍状况改善,进而稳定患者情绪、提高患者生活质量。

Objective To evaluate the influence of the application of TCM emotional nursing+rehabilitation training on stress disorder,quality of life and anxiety,in patients with tibial fractures,so as to promote the rehabilitation of orthopedic patients.Methods A total of 66 cases of tibia fracture patients with stress disorder who were admitted to the Department of Orthopedics of our hospital from March 2018 to April 2019 were selected for treatment.On the basis of treatment,the control group and the experimental group were randomly divided into groups.33 patients in the control group and the experimental group were treated with conventional nursing+psychological nursing and conventional nursing+psychological nursing+TCM emotional nursing+rehabilitation training.The PTSD Checklist-Civilian Version(PCL-C)was used to assess the stress disorder of the patients,Hamilton Anxiety Scale(Hamilton Anxiety Scale,HAMA)assesses the anxiety of patients,and the MOS Item Short from Health Survey(SF-36)assesses the quality of life of patients.The stress disorder,quality of life,and anxiety state of patients with tibial fractures with stress disorder in the control group and the experimental group were compared,Results In terms of stress disorder scores,the stress disorder scores of the two groups of tibial fracture patients improved after nursing compared with those before intervention.There was a significant difference between the experimental group and the control group,P<0.05;in terms of the quality of life score,the tibia of the experimental group the scores of fracture patients after nursing were significantly higher than those of the control group,P<0.05;in terms of anxiety scores,the scores of patients with tibial fractures in the trial group were lower than those of the control group after nursing,P<0.05.Conclusion On the basis of routine nursing and psychological intervention,the combination of traditional Chinese medicine emotional nursing and rehabilitation training for patients with stress disorder tibia fracture can promote the improvement of the patient's stress disorder condition,thereby stabilizing the patient's mood and improving the patient's quality of life.