摘要
目的分析集束化策略联合早期心理干预对髋部骨折患者术后的效果。方法选取2018年3月至2020年5月遂平县人民医院收治的81例髋部骨折患者作为研究对象,采用单双号信封法分为观察组与对照组,各41例。对照组接受常规护理干预方案,观察组接受集束化策略结合早期心理干预。比较两组术后谵妄(POD)发生率、住院时间、匹兹堡睡眠质量指数(PSQI)及视觉模拟评分法(VAS)评分,比较两组护理前后汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分。结果观察组POD率[2.44%(1/41)]低于对照组[19.51%(8/41)],差异有统计学意义(P<0.05)。观察组住院时间、PSQI以及VAS评分均低于对照组,差异有统计学意义(P<0.05)。护理前,两组HAMA、HAMD评分比较,差异无统计学意义(P>0.05);护理后,两组HAMA、HAMD评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论对髋部骨折患者中实施集束化策略结合早期心理干预有利于降低POD发生率,缓解疼痛,改善睡眠,调整焦虑、抑郁负性情绪,促进病情康复。
Objective To analyze the effect of clustering strategy combined with early psychological intervention for patients undergoing hip fracture surgery.Methods A total of 81 hip fracture patients admitted to Suiping County People’s Hospital from March 2018 to May 2020 were selected as the research objects.The patients were grouped into the observation group and the control group by the single and double number envelope method,with 41 cases in each group.Patients in the control group received routine nursing intervention programs,and patients in the observation group received clustering strategies combined with early psychological intervention.The incidence of postoperative delirium(POD),length of stay,Pittsburgh sleep quality index(PSQI)and visual analogue scale(VAS)were compared between the two groups of patients,and the two groups of patients before and after nursing were compared with Hamilton Depression scale(Hamilton depression scale,HAMD)and Hamilton anxiety scale(Hamilton anxiety scale,HAMA)scores.Results The postoperative delirium rate in the observation group[2.44%(1/41)]was significantly lower than in the control group[19.51%(8/41)](P<0.05).The length of hospital stay,PSQI and VAS scores in the observation group were lower than those in the control group(P<0.05).The HAMA and HAMD scores of the two groups of patients after nursing were lower than those before nursing,and the scores of the observation group were lower than those of the control group(P<0.05).Conclusion Cluster strategy combined with early psychological intervention is beneficial to reduce postoperative delirium,relieve pain,improve sleep,adjust negative emotions of anxiety and depression,and promote rehabilitation in patients with hip fracture.
作者
桑春苗
亓淑慧
袁丽君
SANG Chunmiao;QI Shuhui;YUAN Lijun(Operating room of anesthesiology Department,Suiping County People’s Hospital,Zhumadian 463000,China;First department of Orthopedics,Suiping County People’s Hospital,Zhumadian 463000,China;Second Department of Orthopedics,Suiping County People’s Hospital,Zhumadian 463000,China)
出处
《河南医学研究》
CAS
2021年第26期4982-4984,共3页
Henan Medical Research
关键词
髋部骨折
集束化策略
早期心理干预
负性情绪
术后谵妄
clustering strategy
early psychological intervention
hip fracture
negative emotions
postoperative delirium
