心理干预在老年下肢骨折患者围手术期中应用研究.docVIP

心理干预在老年下肢骨折患者围手术期中应用研究 　　【摘要】目的:探讨心理干预在老年下肢骨折患者中的护理效果,总结护理经验。方法:将80例老年下肢骨折手术的患者随机分为观察组40例和对照组40例,观察组采用心理干预,对照组采用常规护理方法,并比较二者的护理效果,例如抑郁和焦虑指数。结果:观察组护理效果明显好于对照组,差异有统计学意义(P0.05),如心理干预后抑郁和焦虑指数下降程度。结论:心理干预可以有效降低老年下肢骨折患者围手术期的抑郁和焦虑程度,提高患者舒适度和对护理质量的满意度,值得临床推广应用。 　　【关键词】心理干预;护理;下肢骨折;高龄;手术 　　 　　doi:10.3969/j.issn.1006-1959.2010.05.018 文章编号:1006-1959(2010)-05-1046-02 　　The study on the effect of applying psychology intervention on elderly patient with fracture in below limbs undergoing operation JIANG Ming-xia. Department of Surgical,The Traditional Chinese medicine hospital of Anyue City Sichuan 642350 　　【Abstract】Objective:To explore the effects of psychology intervention on elderly patient with fracture in below limbs undergoing operation.Methods:80 patients were divided randomly into the investigation group (40 cases) and the control group (40 cases).The former took the psychology intervention,the latter took the traditional nursing method, and compare the nursing effect of the two groups,such as the anxiety and depression index.Results:Comparing the results of two groups of patients,the nursing effect of intervention group was significantly higher than control group(P0.05),Such as decreased degree of depression and anxiety after psychological intervention.Conclusions:Application of psychology intervention on elderly patient with fracture in below limbs undergoing operation can reduce the anxiety and depression,improve their comfort and satisfaction to nurses,and hence is worthy of being recommended in clinical practice. 　　【Key wards】Psychology intervention;Nursing;Fracture in below limbs;Elderly;Operation 　　 　　随着医疗水平和人民生活质量的提高,人类的寿命逐年延长,因此,老年下肢骨折患者日益增多。患者由于年龄大、体质差,治疗和活动受限时间较长,患者容易出现一系列的心理问题;同时患者对治疗的期望也表现出不同情绪的反应及心理需求。随着生物医学模式向生物-心理-社会医学模式的转变,患者的心理问题越来越受到重视,它贯穿于患者住院的全过程,有效的心理干预能较好地解决患者的负性情绪及心理问题[1]。2006年1月～2010年1月期间,我们对老年下肢骨折患者的心理特点进行分析,及时给予心理干预,取得了满意的护理效果,现报道如下。 　　1.资料和方法 　　1.1 一般资料:80例患者男48例,女32例,年龄60～80岁,病程1～40d,住院治疗时间10～53d,均为单侧骨折。骨折部位:股骨颈骨折51例,股骨粗隆间骨折29例。骨折