摘要
目的 对骨牵引术后患者进行心理方面的评估和分析,为此类患者的心理护理提供理论指导.方法 选择2012-10～2013-10间在我科行骨牵引术治疗的108例住院患者作为调查对象,将其分为实验组及对照组,每组各54例,对照组采用常规护理,实验组在常规护理基础上加心理干预,对比两组患者自评SCL-90总分及因子分,应用焦虑自评量表（SAS）与抑郁自评量表（SDS）对接受实验的患者进行焦虑度和抑郁度的测评实验.结果 SCL-90总分、阳性项目均分、强迫、焦虑、恐惧、躯体化得分实验组患者明显强于对照组（P＜0.05）,精神病性及偏执方面两组比较无差异（P＞0.05）.入院时抑郁程度无明显差异（P＞0.05）,但在术前1d和术后5d实验组得分均明显低于对照组（P＜0.05）.结论 心理干预护理能够根据患者实际情况设计针对性强的护理措施,有效减轻患者出现的焦虑、抑郁等心理变化,对于术后康复有临床推广价值.
Objective To evaluate and analyze patients＇ psychology ＇after skeletal traction, to provide some theoretical guidance for the psychological care of patients. Methods 108 patients from January, 2012 to January, 2013 in the hospital of orthopedic traction were ran- domly divided into the experimental group and the control group ： the use of routine care approach in the control group and psychological in- tervention based on the routine one in the experimental group. Serf- assessment SCL-90, Self- Rating Anxiety Scale （SAS） and self- assessment depression sheet （SDS） were used to conduct the degree of anxiety and depression degree evaluation experiment. Results SCL - 90 score, positive project average, compulsion, anxiety, fear, somatization score of experimental group was significantly higher than that in the control group （ P 〈 0.05 ）, and paranoid and psychosis between two groups had no difference （ P 〉 0.05 ）. Admission depression had no significant difference （ P 〉 0.05 ）, but on the day before operation and five days after operation, the scores of the experimental group were significantly lower than that of the control group （P 〈 0.05）. Conclusion The new mental model of care can be designed according to the actual situation in targeted patient care measures to effectively reduce anxiety depression and other psychological changes in patients. It has clinical value for postoperative rehabilitation.
出处
《黑龙江医学》
2014年第4期466-467,共2页
Heilongjiang Medical Journal
关键词
骨牵引术
心理护理
心理干预
Osteodistraction
Psychological nursing
Psychological intervention
