摘要
目的探讨术前心理护理联合加速康复外科护理在开放性四肢骨折手术患者护理中的临床价值。方法选取2020年1月—2021年1月河南省某医院收治的93例接受手术治疗的开放性四肢骨折患者为研究对象。采用随机数字表法将患者分为研究组(47例)与对照组(46例)。对照组患者接受常规手术室护理;研究组患者在对照组基础上进行术前心理护理联合加速康复外科护理。比较2组患者干预前(入院时)与干预后(术后3 d)汉密尔顿焦虑量表(HAMA)及抑郁自评量表(SDS)评分;比较2组患者治疗依从性;比较2组患者术后3个月随访期内感染发生率。结果干预前,2组患者SDS及HAMA评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SDS及HAMA评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者治疗总依从率为93.62%,高于对照组的78.26%,差异有统计学意义(P<0.05)。研究组患者感染发生率为2.13%,低于对照组的19.56%,差异有统计学意义(P<0.05)。结论术前心理护理联合加速康复外科护理在开放性四肢骨折手术患者护理中的应用效果确切,可有效改善患者围术期负性情绪,提高患者治疗依从性,降低术后感染发生率,值得临床推广应用。
Objective To explore the clinical value of preoperative psychological care combined with fast track surgery care in patients with open limb fracture surgery.Methods A total of 93 patients with open limb fractures requiring surgical treatment admitted to a hospital in Henan Province from January 2020 to January 2021 were selected as subjects,who were assigned to a study group(47 cases)and a control group(46 cases)using the random number table method.Patients in the control group received conventional operating room care;patients in the study group preoperative psychological care in combination with fast track surgery care in addition to the conventional care.The Hamilton Anxiety Scale(HAMA)and Depression Self-Rating Depression Scale(SDS)scores before(at admission)and after(3 d after surgery)the intervention were compared between the two groups;the treatment compliance and the incidence of infection during the 3-month postoperative follow-up period were compared between the two groups.Results Before the intervention,there was no statistically significant difference in SDS and HAMA scores between the 2 groups(P>0.05).After the intervention,the SDS and HAMA scores of patients in both groups were lower than those before the intervention,with the study group lower than the control group,and the differences were statistically significant(P<0.05).The overall compliance rate of patients in the study group was 93.62%,which was higher than that of the control group(78.26%),and the difference was statistically significant(P<0.05).The incidence of infection was 2.13%in the study group,which was lower than that of the control group(19.56%),and the difference was statistically significant(P<0.05).Conclusion The application of preoperative psychological care in combination with accelerated rehabilitation surgical care in patients with open limb fracture surgery is established,which can effectively improve the negative perioperative emotions of patients,improve their compliance with treatment,and reduce the incidence of postoperative infection.These advantages justify a wider application of this procedure clinically.
作者
梁丽霞
任雪丽
傅青
Liang Lixia;Ren Xueli;Fu Qing(Operating Room,Shangqiu Municipal Hospital,Shangqiu Henan 476100,China;Department of Rehabilitation,Shangqiu Municipal Hospital,Shangqiu Henan 476100,China;Department of Hand Surgery,Shangqiu Municipal Hospital,Shangqiu Henan 476100,China)
出处
《保健医学研究与实践》
2022年第6期85-88,共4页
Health Medicine Research and Practice
