摘要
目的:探究舒适护理模式应用于行股骨颈骨折闭合复位内固定术的高龄患者对其负性情绪、疼痛程度及满意度的影响,并为这类特殊群体的优质护理积累循证经验。方法:选取86例行股骨颈骨折闭合复位内固定术治疗的患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各43例。其中对照组开展常规护理干预,研究组则在对照组基础上引入舒适护理模式。两组患者均于入院时、术前2 d及术后2 d接受焦虑自评量表(SAS)和抑郁自评量表(SDS)测评;记录两组患者于入院时、术前2 d及术后2 d的心率及收缩压值;两组患者于术后第4 d接受自制的护理满意度问卷。结果:两组患者在入院时的SAS和SDS评分差异无统计学意义(P>0.05);术前2 d及术后2 d,研究组SAS和SDS评分均低于对照组,差异有统计学意义(P<0.05)。两组患者入院时的心率及收缩压值差异均无统计学意义(P>0.05);术前2 d及术后2 d的心率及收缩压值均低于对照组,差异有统计学意义(P<0.05)。研究组患者护理满意度为95.3%(41/43),高于对照组的79.1%(34/43),差异有统计学意义(P<0.05)。结论:行闭合复位内固定术的高龄股骨颈骨折患者,引入舒适护理模式有助于改善其焦虑、抑郁情绪,并能提升患者的整体满意度,取得较为可观的临床成效。
Objective To explore the comfortable nursing model in the application effect of closed reduction and internal fixation in elderly patients with femoral neck fracture on their negative emotion, pain and satis- faction and to accumulate experience of this special group of high quality nursing. Methods Eighty-six cases with femoral neck fracture fixed by closed reduction and internal fixation were divided into study group and control group randomly, with 43 cases in each group. The control group was carried out with routine nursing intervention, the study group was given comforta- bale nursing mode on the basis of routine nursing intervention. All patients accepted anxiety self rating scale （SAS） and depression self rating scale （SDS） at admission, second day before operation and second days after operation. Heart rate and systolic pressure of all patients were recorded at admission, second day before operation, second day after operation. Homemade nursing satisfaction degree questionnaire was surveyed at fourth day after operation. Results There was no significant difference in SAS and SDS scores between the two groups （P 〉 0.05）. At the second day before and after operation, the SAS and SDS scores in patients of study group were low- er than those in the control group. There were no significant differences in heart rate and systolic blood pressure between the two groups. But heart rate and systolic blood pressure in patients of study group were lower than those in control group at the second day before and after operation. Patients nursing satisfaction degree was 95.3% （41/43） in study group, higher than that of 79.1% （34/43） in control group. Conclusion Comfortable nursing mode is helpful to improve the anxiety and depression in femoral neck tracture patients fixed by closed reduction and internal fixation. It can enhance the overall satisfaction of patients, has considerable clinical outcomes.
出处
《中国中西医结合外科杂志》
CAS
2016年第6期551-554,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
无锡市卫生局科研项目(Q201407)
关键词
闭合复位内固定
股骨颈骨折
舒适护理
消极情绪
疼痛程度
Closed reduction and internal fixation
femoral neck fracture
comfortable nursing mode
negative emotion
degree of pain
