摘要
目的探究与分析新型关注型心理护理干预对骨折手术患者日常生活能力、运动能力、睡眠质量以及护理满意度的影响。方法选取我院自2016年4月—2017年4月收治的90例骨折手术患者作为研究对象,采取随机数字表法,将其分为对照组与观察组,每组各45例患者。对照组仅给予常规护理,观察组在对照组基础上,给予新型关注小组护理。比较两组患者行不同护理干预前后日常生活能力指数(BI)、Fugl-Meyer运动功能积分(FMA)、匹兹堡睡眠质量指数量表(PSQI)评分改变情况以及护理后护理满意度情况。结果与护理前相比,两组护理后FMA及BI评分均明显提高,观察组改善更加明显,差异具有统计学意义(P <0.05)。两组护理后PSQI量表各项评分均降低,且与对照组护理后相比,观察组护理后睡眠时间、睡眠障碍、入睡时间、睡眠效率、日间功能及安眠药物评分降低更加显著,差异具有统计学意义(P <0.05)。与对照组相比,观察组护理满意度明显较高,差异具有统计学意义(P <0.05)。结论新型关注型心理护理能有效缓解骨折患者的心理不适,在一定程度上帮助改善其睡眠质量,促进患者肢体运动功能恢复,改善生活自理能力,提高患者对临床工作的满意度。
Objective To explore and analyze the effect of new type of psychological nursing intervention on daily living ability,exercise ability and sleep therapy of patients with fracture surgery.Methods90cases of patients who underwent fracture surgery in our hospital from April2016to April2017were selected as the study subjects.The patients were divided into control group and observation group by random number table method,with45patients in each group.The control group was given routine nursing only.On the basis of the control group,the observation group was given new care group.The changes of daily living ability index(BI),Fugl-Meyer motor function score(FMA),Pittsburgh Sleep Quality Index(PSQI)score and nursing satisfaction were compared between the two groups before and after different nursing interventions.Results Compared with before nursing,the scores of FMA and BI in the two groups were significantly improved after nursing,and the improvement in the observation group was more obvious,the difference was statistically significant(P<0.05).The scores of PSQI scale in the two groups decreased after nursing,and the scores of sleep time,sleep disorder,sleep time,sleep efficiency,daytime function and sleeping drugs in the observation group decreased more significantly than those in the control group(P<0.05).Compared with the control group,the nursing satisfaction of the observation group was significantly higher,the difference was statistically significant(P<0.05).Conclusion New type of psychological nursing care can effectively alleviate the psychological discomfort of the fracture patients,to some extent help improve the quality of their sleep,promote the recovery of the movement function of the limbs,improve the self-care ability of the life,and provide a stable guarantee for the psychological state of the patients.
作者
肖伟杰
房特
曹学照
XIAO Weijie;FANG Te;CAO Xuezhao(Department of Anesthesiology, The First Affiliated Hospital of China Medical University, Shenyang Liaoning 110001,China)
出处
《中国继续医学教育》
2018年第35期190-192,共3页
China Continuing Medical Education
基金
国家自然科学基金资助项目(81300938)
关键词
新型关注型
心理护理干预
骨折
手术
new attention type
psychological nursing intervention
fracture
surgery
