聚焦式心理干预对胫腓骨骨折患者术后情绪 疼痛 生活质量的影响

Effects of focused psychological intervention on postoperative mood,pain and quality of life in patients with tibia and fibula fracture

目的 探讨聚焦式心理干预对胫腓骨骨折患者术后情绪、疼痛及生活质量的影响。方法 将120例胫腓骨骨折手术患者按随机数字表法分为观察组和对照组,各60例。对照组采用常规护理,观察组在对照组基础上实施聚焦式心理干预,观察6周。比较干预前后两组视觉模拟评分法、焦虑自评量表、抑郁自评量表、日常生活能力量表、社会功能缺陷筛选量表、健康调查简表评分,统计并比较两组患者满意度。结果 干预后两组视觉模拟评分法、焦虑自评量表、抑郁自评量表评分较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组社会功能缺陷筛选量表评分较干预前显著降低(P<0.01),日常生活能力量表、健康调查简表评分较干预前显著升高(P<0.01),观察组社会功能缺陷筛选量表评分显著低于对照组(P<0.01),日常生活能力量表、健康调查简表评分显著高于对照组(P<0.01)。观察组患者满意度显著高于对照组(P<0.01)。结论 聚焦式心理干预能明显缓解胫腓骨骨折患者的焦虑抑郁情绪,减轻其疼痛感,促进其生活能力及社会能力的恢复,提高其生活质量及满意度。

Objective To explore the effects of focused psychological intervention on postoperative mood, pain and quality of life in patients with tibia and fibula fracture. Methods A total of 120 patients with tibia and fibula fracture were divided into observation group and control group according to random number table method, with 60 cases in each group. The control group received routine nursing, while the observation group received focused psychological intervention on the basis of the control group for 6 weeks. The visual analogue scale(VAS), self-rating anxiety scale(SAS), self-rating depression scale(SDS), activity of daily living scale(ADL), social disability screening schedule(SDSS), the MOS item short from health survey(SF-36) and patient satisfaction were compared between the two groups before and after intervention. Results The scores of VAS, SAS and SDS in the two groups after intervention were significantly lower than those before intervention(P<0.01), and those in the observation group were significantly lower than those in the control group(P<0.01). The SDSS scores of the two groups after intervention were significantly lower than those before intervention(P<0.01), and the ADL and SF-36 scores were significantly higher than those before intervention(P<0.01). The SDSS scores of the observation group were significantly lower than those of the control group(P<0.01), and the ADL and SF-36 scores of the observation group were significantly higher than those of the control group(P<0.01). The satisfaction of patients in the observation group was significantly higher than that in the control group(P<0.01). Conclusions Focused psychological intervention can significantly relieve the anxiety and depression of patients with tibia and fibula fractures, relieve their pain, promote the recovery of their living ability and social ability, and improve their quality of life and satisfaction.