叙事护理干预对多发肋骨骨折伴血气胸患者心理状态和睡眠质量的影响分析

Analysis of the Impact of Narrative Nursing Intervention on Psychological State and Sleep Quality in Patients with Multiple Rib Fractures and Hemopneumothorax

目的分析叙事护理对多发肋骨骨折伴血气胸患者的心理状态和睡眠质量的影响。方法选取2021年4月至2023年4月我院收治的90例多发肋骨骨折伴血气胸患者,根据护理干预手段的不同分为对照组(常规护理)和观察组(叙事护理),每组45例。比较两组患者心理状态评分、睡眠质量评分和护理满意度。结果干预前,两组患者SAS评分、SDS评分、CD-RISC评分无显著差异(P>0.05);干预后,两组患者SAS评分、SDS评分均降低(P<0.05),CD-RISC评分均升高(P<0.05),观察组SAS评分、SDS评分低于对照组(P<0.05),CD-RISC评分高于对照组(P<0.05)。干预前,两组患者PSQI评分无显著差异(P>0.05);干预后,两组患者PSQI评分均降低(P<0.05),观察组PSQI评分低于对照组(P<0.05)。观察组的护理满意度显著高于对照组(P=0.002)。结论叙事护理可有效改善多发肋骨骨折伴血气胸患者的心理状态和睡眠质量,提高护理满意度。

Objective To analyze the impact of narrative nursing on the psychological state and sleep quality of patients with multiple rib fractures accompanied by hemopneumothorax.Methods 90patients with multiple rib fractures accompanied byhemopneumothorax treated in the thoracic surgery department of our hospital from April 2021 to April 2023 were selected as study subjects.Based on the nursing intervention methods,they were divided into the control group(conventional nursing)and the observation group(narrative nursing),with 45 patients in each group.Psychological state scores,sleep quality scores,and nursing satisfaction were compared between the two groups.Results Before the intervention,there were no significant differences in SAS,SDS,and CD-RISC scores between the two groups(P>0.05).After the intervention,both groups showed reductions in SAS and SDS scores(P<0.05)and increases in CD-RISC scores(P<0.05),while the observation group displayed significantly lower SAS and SDS scores and higher CD-RISC scores compared to the control group(P<0.05).Before the intervention,there were no significant differences in PSQI scores between the two groups(P>0.05).After the intervention,PSQI scores decreased in both groups(P<0.05),while the observation group had lower score than the score of control group(P<0.05).Nursing satisfaction rate in the control group was 71.11%,significantly lower than that(95.56%)in the observation group(P<0.05).Conclusion Narrative nursing can effectively improve the psychological state and sleep quality of patients with multiple rib fractures accompanied by hemopneumothorax,and enhance nursing satisfaction.