基于Meleis过渡理论的多维干预模式对股骨转子间骨折患者术后心理状态和希望水平的影响

Effects of multi-dimensional intervention mode based on the Meleis’s Transitions Theory on postoperative psychological state and hope level of patients with intertrochanteric fractures

目的 分析基于Meleis过渡理论的多维干预模式对股骨转子间骨折患者术后心理状态和希望水平的影响。方法 研究对象选取2023年7~12月诊治的102例股骨转子间骨折患者,分为对照组和试验组,每组51例。对照组进行常规术前准备、干预,试验组给予基于Meleis过渡理论的多维干预。评估比较2组干预后心理状态、希望水平、睡眠情况、疼痛程度、出院准备度、满意度。结果 与手术前比较,手术后2组状态焦虑量表(S-AI)、特质焦虑量表(T-AI)、匹兹堡睡眠质量指数(PSQI)、视觉模拟评分法(VAS)评分下降,且试验组手术后S-AI、T-AI、PSQI、VAS评分低于对照组,希望水平评分上升,且试验组手术后希望水平评分高于对照组(P<0.05)。手术后1 d、3 d试验组出院准备度评分均高于对照组(P<0.05)。与对照组比较,试验组患者不满意度较低,总满意度较高(P<0.05)。结论 股骨转子间骨折患者采用基于Meleis过渡理论的多维干预模式干预后心理状态、睡眠情况改善,希望水平增强,疼痛缓解,出院准备度提升。

Objective To analyze the effects of multi-dimensional intervention mode based on the Meleis’s Transitions Theory on postoperative psychological state and hope level of patients with intertrochanteric fractures.Methods A total of 102 patients with intertrochanteric fractures of the femur diagnosed and treated in our hospital from July 2023 to December 2023 were selected and divided into the control group(n=51)for routine preoperative preparation and intervention,and experimental group(n=51)for multidimensional intervention based on the Meleis’s Transitions Theory.The psychological state,hope level,sleep condition,pain degree,discharge readiness and satisfaction of the two groups were evaluated and compared.Results Compared with data before surgery,the scores of State Anxiety Scale(S-AI),Trait Anxiety Scale(T-AI),Pittsburgh Sleep Quality Index(PSQI)and Visual Analog Scale(VAS)significantly decreased in the two groups after surgery,which in the experimental group were significantly lower than those in the control group after surgery(P<0.05).The scores of hope level were significantly higher in the two groups after surgery,which in the experimental group were significantly higher than those in the control group after surgery(P<0.05).The scores of hospital discharge readiness at 1 and 3 days postoperatively in the experimental group were significantly higher than those in the control group(P<0.05).Compared with the control group,patients in the experimental group had lower dissatisfaction and higher total satisfaction(P<0.05).Conclusion Patients with intertrochanteric fractures of the femur treated with multi-dimensional intervention mode based on the Meleis’s Transitions Theory have improved psychological state,sleep status,hope level and discharge readiness,and relieved pain.