摘要
目的分析持续性健康指导结合心理干预对关节镜下治疗膝骨性关节炎(KOA)术后患者心理应激情绪、睡眠质量的影响。方法收集2019年1月—2020年12月医院骨科收治的80例KOA患者,均行关节镜手术治疗,按照组间基本特征均衡可比的原则分为对照组和观察组,各40例。对照组予以常规护理,观察组予以持续性健康指导结合心理干预,对比两组的疾病知识知晓情况、心理应激情绪及睡眠质量。结果观察组疾病知识知晓得分为21.51±3.76分,高于对照组的评分(P<0.05);观察组护理后抑郁—焦虑—应激自评量表简版(DASS-21)各分表评分均低于对照组(P<0.05);观察组的匹兹堡睡眠质量指数(PSQI)评分为8.19±2.35分,低于对照组的9.92±2.74分(P<0.05)。结论持续性健康指导结合心理干预在关节镜下治疗KOA患者中应用,有助于增强其疾病知识认知水平,促进患者术后心理应激情绪改善,并提升其睡眠质量。
Objective To analyze the effect of continuous health guidance combined with psychological intervention on the psychological stress and sleep quality of patients after arthroscopic treatment of knee osteoarthritis(KOA).Methods A total of 80 KOA patients admitted to the orthopedics department of the hospital from January 2019 to December 2020 were collected.All of them underwent arthroscopic surgery.According to the principle of balanced and comparable basic characteristics between the groups,they were divided into a control group and an observation group,each with 40 cases.The control group was given routine nursing care,and the observation group was given continuous health guidance combined with psychological intervention.The two groups'disease knowledge awareness,psychological stress and sleep quality were compared.Results The disease knowledge awareness score of the observation group was 21.51±3.76 points,which was higher than the score of the control group(P<0.05).The scores of each score of the post-nursing depression-anxiety-stress self-rating scale(DASS-21)of the observation group were lower than those of the control group(P<0.05).The Pittsburgh sleep quality index(PSQI)score of the observation group was 8.19±2.35 points,which was lower than the 9.92±2.74 points of the control group(P<0.05).Conclusion The application of continuous health guidance combined with psychological intervention in the treatment of KOA patients under arthroscopy can help enhance their knowledge and awareness of the disease,promote the improvement of postoperative psychological stress,and improve their sleep quality.
作者
张永栋
邱丽容
董浩
ZHANG Yongdong;QIU Lirong;DONG Hao(Fujian Provincial Hospital,Fuzhou,350001,China)
出处
《护理实践与研究》
2022年第2期254-258,共5页
Nursing Practice and Research
关键词
持续性健康指导
心理干预
关节镜
膝骨性关节炎
心理应激情绪
睡眠质量
Continuous health guidance
Psychological intervention
Arthroscopy
knee osteoarthritis
Psychological stress
Sleep quality
