探究早期康复护理联合心理干预对股骨颈骨折患者的康复效果及睡眠质量的影响

To Explore the Effect of Early Rehabilitation Nursing Combined with Psychological Intervention on the Rehabilitation Effect and Sleep Quality of Patients with Femoral Neck Fracture

目的:探究早期康复护理联合心理干预对股骨颈骨折患者的康复效果及睡眠质量的影响。方法:选取2020年5月至2021年5月联勤保障部队第九〇九医院收治的股骨颈骨折患者82例作为研究对象,按照随机数字表法分为观察组和对照组,每组41例。对照组给予常规护理干预,观察组在对照组的基础上给予早期康复护理联合心理干预。采用的Harris髋关节功能量表评分比较2组患者的康复效果,采用日常生活活动能力量表(ADL)评价患者的生命质量,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)比较2组患者焦虑、抑郁症状的改善情况,比较2组患者护理满意度。结果:干预前,2组患者的Harris评分、ADL评分、PSQI评分、SAS评分、SDS评分比较,差异无统计学意义(P>0.05);干预后,Harris评分、ADL评分均有所升高,且观察组显著高于对照组;PSQI评分、SAS评分、SDS评分均有所降低,观察组显著低于对照组,观察组护理满意度显著高于对照组,2组比较差异均有统计学意义(P<0.05)。结论:相比于常规护理干预,早期康复护理联合心理干预能更好地提高患者髋关节功能,提高患者生命质量,提高患者睡眠质量,改善不良情绪,加快康复进程,值得临床推广使用。

Objective:To explore the effect of early rehabilitation nursing combined with psychological intervention on the rehabilitation effect and sleep quality of patients with femoral neck fracture.Methods:A total of 82 patients with femoral neck fracture admitted to the 909th Hospital of Joint Logistic Support Force from May 2020 to May 2021 were selected as the research objects and divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group was given routine nursing intervention,the observation group was given early rehabilitation nursing combined with psychological intervention on the basis of control group.Harris Hip Function Scale was used to compare the rehabilitation effect of patients in 2 groups,Activities of daily living Scale(ADL)was used to evaluate the quality of life of patients,Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference of sleep quality between 2 groups.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of Anxiety and Depression symptoms between 2 groups,and the nursing satisfaction of 2 groups was compared as well.Results:Before intervention,there were no significant differences in Harris score,ADL score,PSQI score,SAS score and SDS score between 2 groups(P>0.05).After intervention,Harris score and ADL score increased,and the observation group was significantly higher than the control group;The PSQI score,SAS score and SDS score were decreased,and the observation group was significantly lower than the control group,and the nursing satisfaction of the observation group was significantly higher than that of the control group,and the differences between the 2 groups were statistically significant(P s<0.05).Conclusion:Compared with routine nursing intervention,early rehabilitation nursing combined with psychological intervention can better improve the hip function of patients,improve the quality of life of patients,improve the quality of sleep of patients,improve bad mood,accelerate the process of rehabilitation,which is worthy of clinical promotion and use.