摘要
目的:探讨焦点式心理干预(FPI)对股骨骨折患者焦虑抑郁情绪及睡眠质量的影响。方法:选取2022年1月—2024年1月医院收治的106例股骨骨折患者,按照干预方式不同将其分为常规组(n=53,常规护理干预)和实验组(n=53,常规护理联合FPI),干预2个月。比较两组疼痛、焦虑抑郁情绪、睡眠质量、髋关节功能、骨折愈合时间及患者依从性。结果:干预2个月后,两组数字评分法(NRS)评分、焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分较干预前均降低(P<0.05),实验组NRS评分、SAS评分及SDS评分低于常规组(t=4.566,13.988,11.303;P<0.05);两组匹兹堡睡眠质量指数量表(PSQI)各项及总评分均降低(P<0.05),实验组睡眠效率、质量、障碍、时间、催眠药物、入睡时间及日间功能障碍及总评分均低于常规组(t=13.701,15.714,18.376,8.945,4.679,4.827,5.838,28.896;P<0.05);干预2个月后,两组Harris髋关节评分(HHS)均升高(P<0.05),且实验组HHS评分高于常规组(t=5.613,P<0.05);实验组骨折愈合时间短于常规组(t=7.278,P<0.05);实验组患者总依从率(88.68%)高于常规组(66.04%)(χ^(2)=7.756,P<0.05)。结论:对股骨骨折患者实施FPI,能有效降低患者疼痛,减轻焦虑抑郁情绪,改善睡眠质量,促进髋关节功能恢复,且患者具有良好依从性。
Objective:To explore the effect of focused psychological intervention(FPI)on anxiety and depression and sleep quality of patients with femoral fracture.Methods:A total of 106 patients with femoral fracture admitted to the hospital from January 2022 to January 2024 were divided into routine group(n=53,routine nursing intervention)and experimental group(n=53,routine nursing combined with FPI)according to different intervention methods,and the intervention lasted for 2 months.The pain,anxiety and depression,sleep quality,hip function,fracture healing timeand patient compliance were compared between two groups.Results:After two months of intervention,the scores of numerical score(NRS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before intervention(P<0.05),while the scores of NRS,SAS and SDS in experimental group were lower(t=4.566,13.988,11.303;P<0.05).All items and total scores of Pittsburgh Sleep Quality Index Scale(PSQI)decreased in both groups(P<0.05),and the sleep efficiency,quality,obstacles,time,hypnotic drugs,sleep time,daytime dysfunction and total scores of experimental group were lower than that of routine group(t=13.701,15.714,18.376,8.945,4.679,4.825;P<0.05).Harris hip joint score(HHS)in both groups increased(P<0.05),and the HHS score in experimental group was higher(t=5.613,P<0.05).The fracture healing time in experimental group was shorter(t=7.278,P<0.05).The total compliance rate of patients in experimental group(88.68%)was higher than that in routine group(66.04%)(χ^(2)=7.756,P<0.05).Conclusion:FPI can effectively reduce patients'pain and anxiety and depression.It can also improve the sleep quality of patients and promote the recovery of hip joint function,and the patients after intervention have good compliance.
作者
景青
王佩佩
王艺伟
刘云可
JING Qing;WANG Peipei;WANG Yiwei;LIU Yunke(Department of Orthopaedics,Yihe Hospital,Zhengzhou City,Zhengzhou 450000,China;Orthopedics of Henan Provincial People's Hospital)
出处
《中国健康心理学杂志》
2024年第8期1191-1195,共5页
China Journal of Health Psychology
基金
2021年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20210004)。
关键词
股骨骨折
焦点式心理干预
焦虑
抑郁
睡眠质量
Femoral fracture
Focus psychological intervention
Anxiety
Depression
Sleep quality
作者简介
景青,E-mail:18703820992@163.com。
