摘要
目的 观察基于标准化医护沟通模式(Situation Background Assessment Recommendation,SBAR)的心理护理在踝关节骨折患者围手术期的护理效果。方法 选取2020年1月至2022年12月涟水县中医院收治的150例踝关节骨折手术患者作为研究对象,根据随机数字表法分为观察组和对照组,各75例。对照组实施常规护理模式,观察组实施基于SBAR模式的心理护理,分别于入院当日、出院前1 d对比两组患者的临床恢复指标,并使用广泛性焦虑测试量表(Generalized Anxiety Disorder-7,GAD-7)、抑郁症筛查量表(Patient Health Questionnaire-9,PHQ-9)及足踝能力评估量表(Foot and Ankle Ability Measure,FAAM)分别测评两组患者的焦虑、抑郁及足踝关节能力量表评分。结果 入院当日,两组GAD-7评分、PHQ-9评分及FAAM评分差异无统计学意义(P> 0.05);出院前1 d,观察组FAAM评分高于对照组,GAD-7评分、PHQ-9评分及临床恢复指标均低于对照组(P <0.05)。结论 在踝关节骨折患者围手术期实施基于SBAR模式的心理护理,能够缩短患者术前消肿时间,改善患者足踝功能,从而减少焦虑及抑郁情绪的发生。
Objective To observe the effect of psychological nursing based on the Situation Background Assessment Recommendation(SBAR)in the perioperative period of ankle fracture patients.Methods 150 patients with ankle fracture who were treated in our hospital from January 2020 to December 2022 were divided into observation group and control group according to random number method,with 75 patients in each group.The control group implemented routine nursing mode,and the observation group implemented SBAR mode psychological nursing.The clinical recovery indexes of the two groups were compared on the day of admission and one day before discharge,The scores of anxiety,depression and ankle joint ability of the patients in the two groups were evaluated using the Generalized Anxiety Disorder-7(GAD-7),the Patient Health Questionnaire-9(PHQ-9)and the Foot and Ankle Ability Measure(FAAM).Results On the day of admission,there were no significant differences in GAD-7 scores,PHQ-9 scores and FAAM scores between the two groups(P>0.05).1 day before discharge,FAAM score in observation group was higher than control group,and GAD-7 score,PHQ-9 score and clinical recovery index were lower than control group(P<0.05).Conclusion The implementation of psychological nursing based on SBAR model in perioperative period of ankle fracture patients can shorten the time of preoperative detumation,improve the function of foot and ankle,and reduce the occurrence of anxiety and depression.
作者
颜玲
邓丽
翟云
张雅洁
蒋春燕
Yan Ling;Deng Li;Zhai Yun;Zhang Yajie;Jiang Chunyan(Department of Orthology,Lianshui Hospital of Traditional Chinese Medicine,Huaian 223400,China)
出处
《足踝外科电子杂志》
2023年第4期29-33,共5页
Electronic Journal of Foot and Ankle Surgery
关键词
踝关节骨折
SBAR模式
心理护理
术后消肿
ankle joint fracture
SBAR mode
psychological nursing
preoperative detumescence
