手术联合心理干预对老年股骨粗隆间骨折患者的负性情绪及睡眠质量的影响

The effect of surgery combined with psychological intervention on negative emotions and sleep quality in elderly emergency patients with intertrochanteric fractures of the femur

目的探讨急诊老年股骨粗隆间骨折患者实施手术联合心理干预对其负性情绪及睡眠质量的改善效果。方法于2022年4月~2023年4月阶段选取80例急诊老年股骨粗隆间骨折患者为研究对象,基于随机数字表法规范化分组,分为对照组(实行手术治疗)与观察组(实行手术治疗联合心理干预),各组40例;观察对比两组负性情绪、睡眠质量、生活质量。结果干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于同组干预前,且观察组较对照组更低(P<0.05);干预后,两组PSQI评分均低于同组干预前,且观察组较对照组更低(P<0.05);干预后,两组生活质量评分对比(P>0.05),两组生活质量评分均高于同组干预前,且观察组较对照组更高(P<0.05)。结论对急诊老年股骨粗隆间骨折患者实行手术联合心理干预,有利于维持其良好心理状态及睡眠质量,满足患者需求并提高护理满意度,促进其生活质量显著提升。

Objective To explore the improvement effect of surgery combined with psychological intervention on negative emotions and sleep quality in elderly emergency patients with intertrochanteric fractures of the femur.Methods From April 2022 to April 2023,a study was conducted on 80 emergency elderly patients with intertrochanteric fractures of the femur.The study was standardized based on a random number table method and divided into a control group(receiving surgical treatment)and an observation group(receiving surgical treatment combined with psychological intervention),with 40 patients in each group;Observe and compare the negative emotions,sleep quality,and quality of life between the two groups.Results After the intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the two groups were lower than those of the same group before the intervention,and the observation group was lower than that of the control group(P<0.05).After the intervention,the Pittsburgh Sleep Quality Index(PSQI)scores of the two groups were compared(P>0.05).After the intervention,the PSQI scores of the two groups were lower than those of the same group before the intervention,and the observation group was lower than the control group(P<0.05).After the intervention,the quality of life scores of the two groups were compared(P>0.05).After the intervention,the quality of life scores of the two groups were higher than those of the same group before the intervention,and the observation group was higher than the control group(P<0.05).Conclusion Surgical combined psychological intervention is beneficial for maintaining good psychological state and sleep quality,meeting patient needs,improving nursing satisfaction,and significantly improving their quality of life for elderly patients with intertrochanteric fractures in emergency department.