围术期健康教育与心理干预对股骨骨折患者术后负性情绪、疼痛和满意度的影响

Influence of perioperative health education and mental intervention on negative emotion, pain and satisfaction of patients with femoral fracture

目的:探讨分析围术期健康教育与心理干预对股骨骨折患者术后负性情绪、疼痛和满意度的影响。方法:选取本院收治的78例股骨骨折患者进行观察研究,将所选患者按照干预方式的不同分为观察组与对照组各39例,对照组患者给予常规干预,观察组患者在对照组基础上同时给予围术期健康教育联合心理干预。回顾性分析两组患者的临床资料,比较两组患者在干预前后的心理状况、疼痛程度及满意度。结果:术前,对照组负面情绪评分与入院时对比无明显差异(P>0.05),观察组负面情绪评分与入院时对比存在显著性差异,术后,观察组与对照组患者负面情绪评分相比入院时均降低,存在显著差异(P<0.05);观察组患者术前与术后的负面情绪评分均低于对照组,存在显著差异(F=27.189,35.197;P<0.001)。术后1d,对照组患者相比入院时疼痛评分无明显变化(P>0.05),观察组患者相比入院时疼痛评分有明显降低;术后2d,观察组与对照组患者的疼痛评分均显著低于入院时;术后,观察组患者疼痛评分明显低于对照组患者(F=161.039,P<0.001)。干预后,观察组患者满意度明显高于对照组(χ~2=5.571,P<0.05)。结论:对股骨骨折患者实施健康教育联合心理干预,可以有效改善患者术后不良心理状况,减轻疼痛程度,提高护理满意度,促进患者身体、心理、社会等功能达到最优化,加快疾病康复进程。

Objective:To investigate the influence of perioperative health education and psychological intervention on negative emotion,pain and satisfaction in patients with femoral fracture.Methods:A total of 78 cases of femoral fracture were treated in our hospital.The patients were divided into observation group and control group according to different Intervention methods,39 cases in each group,patients in the control group received routine intervention,while the observation group was given perioperative health education and psychological intervention on the basis of the control group.We retrospectively analyzed the clinical data of two groups of patients,compared the psychological status,pain degree and intervention satisfaction of the two groups before and after intervention.Results:There was no significant difference between the negative emotion scores of the control group and the admission time(P>0.05),there was significant difference between the negative emotion scores of the observation group and the admission time,after the operation,the negative emotion scores of the observation group and the control group decreased compared with the admission,and there were significant differences;The negative emotion scores before and after the operation in the observation group were lower than those in the control group,there were significant differences(F=27.189,35.197;P<0.001);One day after operation respectively,there was no significant difference in pain scores at admission between controls(P>0.05);Compared with the patients in the observation group,the pain score at admission decreased significantly,Two day after operation respectively the pain scores of the observation group and the control group were significantly lower than those at admission;After operation,the pain score of the observation group was lower than that of the control group(t=161.039,P<0.001).After operation,the satisfaction in observation group was significantly higher than in control group(χ~2=5.571,P<0.05)Conclusion:The implementation of health education and psychological intervention can effectively improve the postoperative psychological status of the patients with femoral fracture,reduce the degree of pain,improve nursing satisfaction,promote the patient’s physical,psychological,social and other functions to achieve optimization,speed up the rehabilitation process of disease.