摘要
目的探讨中医特色康复护理结合情志干预对股骨近端骨折(PFF)患者术后康复的影响.方法选择2019年1月—2021年8月我院收治的60例PFF患者,其中2019年1月—2020年4月30例患者为对照组,2020年5月—2021年8月30例患者为观察组.对照组实施常规护理,观察组在对照组基础上实施中医特色康复护理结合情志干预.两组均随访观察至术后3个月.比较两组髋关节功能、负性情绪、睡眠质量.结果两组入院时各项Harris评分比较,组间差异无统计学意义(P>0.05);观察组出院后3个月疼痛、功能、下肢畸形、髋关节活动范围评分均高于对照组,组间差异有统计学意义(P<0.05).入院时,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数(PSQI)评分比较,组间差异无统计学意义(P>0.05);出院时,观察组HAMA、HAMD、PSQI评分均低于对照组,组间差异有统计学意义(P<0.05).结论中医特色康复护理结合情志干预能够促进PFF患者术后髋关节功能恢复,改善负性心理及睡眠质量.
Objective To explore the effect of traditional Chinese medicine rehabilitation nursing combined with emotional intervention on postoperative rehabilitation of patients with proximal femoral fracture(PFF).Methods The 60 patients with PFF admitted to our hospital from January 2019 to August 2021 were retrospectively analyzed.Among them,30 patients admitted from January 2019 to April 2020 were the control group,and 30 patients admitted from May 2020 to August 2021 were the observation group.The control group was given routine nursing,and the observation group was given traditional Chinese medicine rehabilitation nursing combined with emotional intervention on the basis of the control group.Both groups were followed up for 3 months after operation.The hip function,negative emotions,and sleep quality were compared between the two groups.Results There was no significant difference in Harris score between the two groups on admission(P>0.05);the pain,function,lower limb deformity and hip range of motion scores in the observation group were higher than those in the control group at 3 months after discharge,and the differences were statistically significant(P<0.05).On admission,there was no significant difference in the scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)and Pittsburgh sleep quality index(PSQI)between the two groups(P>0.05);at the time of discharge,the HAMA,HAMD and PSQI scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Traditional Chinese medicine rehabilitation nursing combined with emotional intervention can promote postoperative hip function recovery,improve negative psychology and sleep quality in patients with PFF.
作者
焦惠萍
JIAO Huiping(Department of Orthopedics and Traumatology,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2022年第2期4-6,13,共4页
Reflexology And Rehabilitation Medicine
关键词
股骨近端骨折
中医特色康复护理
情志干预
髋关节功能
负性心理
Proximal femur fracture
Traditional Chinese medicine rehabilitation nursing
Emotional intervention
Hip function
Negative psychology
