心理护理干预对老年腰椎管狭窄症术后患者影响.docVIP

心理护理干预对老年腰椎管狭窄症术后患者影响 　　[摘要] 目的 探讨心理护理干预对老年腰椎管狭窄症术后患者的影响。方法 选取笔者所在医院2012年5月～2013年7月收治的170例老年腰椎管狭窄症术后患者的临床资料进行分析，将患者随机分为观察组和对照组，每组各85例，观察组实施心理护理干预，对照组采取常规护理，观察比较两组患者术后恢复情况。结果 术后5周两组患者进行症状自评量，观察组患者在躯体化、强迫、抑郁、焦虑、敌对方面较对照组明显呈好转趋势（P＜0.05），差异具有统计学意义。经5周护理干预治疗，对照组总有效率为92.9%，观察组总有效率为98.8%，两组比较，观察组总有效率明显高于对照组，差异具有显著性（x2=4.54，P＜0.05）。结论 心理护理干预可改善老年腰椎管狭窄症患者术后心理问题，解除其心理障碍，促进康复。 　　[关键词] 心理护理；腰椎管狭窄症；老年人 　　[中图分类号] R473.6#8195;#8195;#8195;[文献标识码] B#8195;#8195;#8195;[文章编号] 2095-0616（2014）09-144-03 　　 　　Effect of psychological nursing intervention on elderly patients with lumbar spinal stenosis 　　ZHAO#8195;Huirong 　　Department of Orthopedics, Penglai Hospital of Traditional Chinese Medicine, Penglai 265600, China 　　[Abstract] Objective To study the effect of psychological nursing intervention on elderly patients with lumbar spinal stenosis. Methods The clinical data of 170 old patients with lumbar spinal stenosis，who in hospital from May 2012 to July 2013，were retrospectively analyzed，and divided into the control group and study group, with 85 cases in each group. The observation group was received psychological nursing intervention, and the control group was given routine nursing care. The postoperative recovery were observed and compared in two groups of patients. Results After 5 weeks, two groups were self rating symptom. The somatization, compulsion, depression, anxiety, hostility of the observation group patients were improved obviously that of the control group(P＜0.05), the difference was statistically significant. After 5 weeks of nursing intervention, the total effective rate of control group was 92.9%, and the total effective rate of study group was 98.8%. The total effective rate of the study group was better than that in control group, the difference was significant(x2=4.54,P＜0.05). Conclusion Psychological nursing intervention can improve elderly patients with lumbar spinal stenosis postoperative psychological problems, remove the psychological barriers, promote r