摘要
目的探讨髋关节置换患者出院前的焦虑、抑郁状况，为制定针对性的院外心理护理干预措施提供依据。方法选取2009年1月1日至2012年12月31日行髋关节置换术的256例患者作为研究对象，采用Zung编制的焦虑自评量表（SAS）和抑郁自评量表（SDS），出院前1～2d对患者实施面对面调查。结果最终收回有效问卷244份，有效率为95．31％。髋关节置换患者出院前SAS标准分均值为（48．05±13．24）分，明显高于常模组的（33．80±5．90）分，差异有统计学意义（￡=11．22，P〈0．01）；SDS标准分均值为（54．44±14．41）分，明显高于常模组的（41．85±10．57）分，差异有统计学意义（t=7．85，P〈0．01）。除不同职业髋关节置换患者出院前的SDS评分差异有统计学意义（P〈0．05）外，其余指标对SAS、SDS的影响差异均无统计学意义（P〉0．05）。结论出院前髋关节置换患者焦虑、抑郁明显，亟须开展出院前心理评估，并认真落实个体化的院外心理护理干预和康复指导，以期提高患者生活质量。
Objective To study the anxiety and depression status of patients with hip replacement, in order to provide basis for mental nursing intervention outside the hospital. Methods Totals of 256 patients who had hip replacement surgery from January 1,2009 to December 31,2012 were chosen, and investigated face-toface by self-rating anxiety scale（SAS） and self-rating depression scale（SDS） one or two clays before discharge. Results Totals of 244 valid questionnaires were recovered out of 256, with the effective rate of 95.31%. The average score of SAS of patients with hip replacement before discharge was （48.05 ± 13.24）, obviously higher than the norm of （ 33.80 ± 5.90 ） , and the difference was statistically significant （ t = 11.22, P 〈 0. 01 ）. The average score of SDS was （54.44 ± 14.41 ）,also higher than the norm of （41.85 ± 10.57 ）, and the difference was statistically significant （t =7.85 ,P 〈0.01 ）. Except that patients of different occupations had significantly different SDS scores （ P 〈 0. 05 ） , other indexes had no statistically significant influence on SAS and SDS （ P 〉 0. 05）. Conclusions Psychological evaluation on anxiety and depression of patients with hip replacement is necessary before discharge, and individualized mental nursing intervention and rehabilitation guidance outside the hospital should be implemented to improve patient＇s quality of life.
出处
《中华现代护理杂志》
2013年第19期2248-2251,共4页
Chinese Journal of Modern Nursing
基金
安徽省教育厅重点项目（K12012A170）
关键词
关节成形术
置换
髋
焦虑
抑郁
护理
Arthroplasty, replacement, hip
Anxiety
Depression
Nursing
