摘要
目的:探讨导向性心理干预联合健康教育在脊柱骨折患者围术期护理中的应用效果。方法:将2020年6月1日~2021年6月30日收治的60例脊柱骨折患者随机分为常规组29例和研究组31例;常规组实施常规心理疏导联合健康教育,研究组实施导向性心理干预联合健康教育,两组均从术前干预至术后2个月;比较两组恢复时间、干预前和干预后2个月治疗依从性(采用依从性量表)、心理状态[采用WHO情绪状态问卷(POMS)]、疼痛程度[采用视觉模拟评分法(VAS)]、脊柱功能[采用脊柱功能指数量表(SFI)]及并发症发生情况。结果:研究组下床活动、切口恢复、出院时间均短于常规组(P<0.05);干预后2个月,两组依从性均高于干预前(P<0.05),且研究组高于常规组(P<0.05);干预后2个月,两组POMS评分、VAS评分均低于干预前,且研究组低于常规组(P<0.05);干预后2个月,两组SFI评分高于干预前(P<0.05),且研究组高于常规组(P<0.05);干预后2个月,两组并发症发生情况比较差异无统计学意义(P>0.05)。结论:导向性心理干预联合健康教育可提高患者治疗和护理依从性,改善患者心理状态,促进患者脊柱功能恢复,加快患者康复进程。
Objective:To explore the application effect of oriented psychological intervention combined with health education in the surgical nursing of patients with spinal fractures.Methods:A total of 60 patients with spinal fractures who underwent surgical treatment during June 1,2020 to June 30,2021 were randomly divided into the routine group with 29 cases and the study group with 31 cases.The routine group received routine psychological counseling combined with health education intervention,and the study group was given oriented psychological intervention combined with health education nursing intervention.Both groups were intervened from before surgery to 2 months after surgery.The recovery time,treatment compliance using Compliance Scale,psychological status using World Health Organization(WHO)Profile of Mood States(POMS),pain degree using Visual Analogue Score(VAS)and spinal function using Spinal Function Index(SFI)before intervention and 2 months after intervention and total incidence rate of complications were compared between the two groups.Results:The ambulation time,incision recovery time and discharge time of patients in the study group were shorter than those in the routine group(P<0.05).2 months after surgery,the scores of compliance scale and SFI in the two groups were higher than those before intervention(P<0.05),and those in the study group were higher than those in the routine group(P<0.05).The scores of POMS and VAS were lower than those before intervention(P<0.05),and those in the study group were lower than those in the routine group(P<0.05).The scores of SFI were higher than those before intervention,and those in the study group were higher than those in the routine group(P<0.05).There were no significant differences in the incidence rates of infection,pressure ulcers and thrombosis between the two groups within 2 months after surgery(P>0.05).Conclusion:Oriented psychological intervention combined with health education can enhance the compliance with treatment nursing,improve their psychological stat
作者
王燕萍
罗敏娟
胡艳
Wang Yanping;Luo Minjuan;Hu Yan(Zhejiang Rongjun Hospital,Jiaxing Zhejiang 314000,China)
出处
《齐鲁护理杂志》
2021年第24期33-36,共4页
Journal of Qilu Nursing
关键词
导向性心理干预
健康教育
脊柱骨折
心理状态
脊柱功能
Oriented psychological intervention
Health education
Spinal fractures
Psychological status
Spinal function
