罗森塔尔效应引导式护理对下肢骨折患者术后康复及心理状态的影响分析

Influence Analysis of Rosenthal Effect Guided Nursing on Postoperative Rehabilitation and Psychological State of Patients with Lower Limb Fracture

要目的:研究罗森塔尔效应引导式护理对下肢骨折患者术后康复及心理状态的影响。方法:将我院2018年1月12日—2020年2月15日收治的87例下肢骨折手术患者纳入研究。将其以电脑随机数字表法分作观察组43例和对照组44例。对照组开展常规护理,观察组则于对照组的基础上增用罗森塔尔效应引导式护理。分析2组在恢复时间,心理状态,自我管理能力,术后并发症发生情况,生活质量及睡眠质量等方面的差异。结果:观察组骨折愈合时长、术后下床活动时间以及住院康复时长均短于对照组(均P<0.05);观察组干预后各项CD-RISC评分均高于对照组(均P<0.05);观察组各项自我管理能力评分均高于对照组(均P<0.05);2组各项术后并发症发生率对比差异不明显(均P>0.05);干预后,观察组心理功能、社会功能、躯体功能、总体健康评分均高于对照组,而匹兹堡睡眠质量指数(PSQI)评分低于对照组(均P<0.05)。结论:罗森塔尔效应引导式护理可促进下肢骨折患者术后康复,同时有效改善患者的心理状态以及自我管理能力。此外,该护理方案可改善下肢骨折患者生活质量以及睡眠质量,值得推广普及。

Objective:To study the influence of Rosenthal effect guided nursing on postoperative rehabilitation and psychological state of patients with lower limb fracture.Methods:From January 12,2018 to February 15,2020,a total of 87 patients with lower extremity fracture were included in this study.The patients were divided into study group(n=43)and routine group(n=44)by computer ran-dom number table.Routine nursing was carried out in the conventional group,and Rosenthal effect guided nursing was added to the con-ventional group.The differences in recovery time,mental state,self-management ability,postoperative complications,quality of life and sleep quality between the two groups were analyzed.Results:The duration of fracture healing,postoperative time of getting out of bed and hospitalization recovery in the study group were all shorter than conventional group(all P<0.05).The CD-RISC scores of the study group after intervention were higher than conventional group(all P<0.05).The scores of self-management ability in the study group were higher than conventional group(all P<O.05).There was no significant difference in the incidence of postoperative complications between the study group and the conventional group(all P>0.05).After intervention,the psychological function,social function,physical function and general health scores of the study group were higher than those of the routine group,while the Pittsburgh Sleep Quality index(PSQI)score of the observation group was lower than that of the routine group(all P<O.05).Conclusion:Rosenthal effect guided nursing can promote postoperative rehabilitation of patients with lower extremity fracture,and effectively improve the psychological state and self-management ability of patients.In addition,this nursing program can improve the quality of life and sleep quality of patients with lower limb fracture,worthy of popularization.