摘要
目的对腰椎压缩性骨折患者伴发焦虑、抑郁情绪的影响因素及心理干预措施进行研究探讨。方法将整群选取该院2013年1—12月收治的104例腰椎压缩性骨折患者作为对照组,行常规护理干预。以2014年1—12月收治的104例对患者椎压缩性骨折患者作为观察组,对患者伴发焦虑、抑郁情绪的影响因素进行调查,并采取针对性护理干预措施,对比两组患者护理干预前后的焦虑、抑郁情绪评分及护理满意度。结果职业、文化程度、病情程度、经济状况与患者的焦虑、抑郁情绪的发生有着密切关系。观察组患者护理干预后的焦虑评分及消极应对评分低于对照组,积极应对评高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为96.15%,对照组护理满意度为78.85%,观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论腰椎压缩性骨折患者容易伴发焦虑、抑郁不良情绪,在对这些情绪的诱发原因调查的基础上开展针对性护理干预,有利于缓解患者不良情绪,密切护患关系,值得临床推广应用。
Objective To study the influencing factors of anxiety and depression in patients with lumbar vertebral compression fracture and the corresponding psychological nursing intervention. Methods One hundred and four patients with lumbar vertebral compression fracture admitted in our hospital from January 2013 to December 2013 were selected as the control group and treated by the conventional nursing. Other 104 patients with lumbar vertebral compression fracture admitted in our hospital from January2014 to December 2014 were selected as the observation group. An investigation about the influencing factors of anxiety and depression was conducted in the observation group and the targeted nursing intervention based on the investigation was given to the observation group. And the SAS and SDS scores and nursing satisfaction of the two groups were compared before and after nursing intervention. Results Occupation, education, severity of the disease and economic condition were closely related to the incidence of anxiety and depression in the patients. After intervention, the SAS scores and negative coping scores were lower while positive coping scores were higher in the observation group than those in the control group, respectively with statistically significant differ-ence, P <0.05. The nursing satisfaction was much higher in the observation group than that in the control group(96.15% vs78.85%), the difference was statistically significant, P <0.05. Conclusion Patients with lumbar vertebral compression fracture are prone to having anxiety and depression. Targeted nursing intervention based on the investigation of the influencing factors of anxi-ety and depression in the patients is conducive to alleviating the negative emotion and facilitating the nurse-patient relationship,therefore it is worthy of clinical application and promotion.
出处
《中外医疗》
2015年第25期166-168,共3页
China & Foreign Medical Treatment
关键词
腰椎压缩性骨折
负性情绪
心理护理
Lumbar vertebral compression fracture
Negative emotion
Psychological nursing