摘要
目的探讨森田疗法配合Orem自我护理干预对急性创伤骨折后抑郁患者预后的影响。方法选取86例急性创伤骨折后抑郁患者,依据住院顺序随机分为对照组(采用常规护理干预)和观察组(采用森田疗法配合Orem自我护理干预)各43例,采用汉密尔顿抑郁量表(HAMD)评估2组患者抑郁情绪,采用生活质量综合评定问卷(GQOLI-74)评估2组患者生活质量,比较2组健康知识知晓率、护理满意度及并发症发生情况。结果干预后,2组HAMD评分较干预前显著降低,且观察组HAMD评分显著低于对照组(P<0.05);干预后,观察组健康知识知晓率、护理满意度评分显著高于对照组(P<0.05);干预后,2组选择躯体功能、心理功能、社会功能、物质功能评分较干预前显著升高,且观察组选择躯体功能、心理功能评分较对照组显著更高(P<0.05);观察组干预后并发症发生率显著低于对照组(P<0.05)。结论森田疗法配合Orem自我护理干预应用于急性创伤骨折后抑郁患者,在减轻患者抑郁情绪、改善预后生活质量以及提高患者自护能力等方面有明显优势。
Objective To investigate the effect of Morita therapy combined with Orem self-care intervention on prognosis of acute traumatic fracture patients with depression.Methods Totally 86 acute traumatic fracture patients with depression were selected and randomly divided into control group (routine nursing intervention) and observation group (Morita therapy combined with Orem self-care intervention) according to admission order,with 43 cases in each group.Hamilton Depression Scale (HAMD) was used to evaluate depression in both groups.Generic Quality of Life Inventor-74 (GQOLI-74) was used to assess quality of life in both groups.The awareness rate of health knowledge,nursing satisfaction degree and incidence of complications were compared between the two groups.Results After intervention,the HAMD scores in both groups were significantly lower than those before treatment,and the HAMD score of the observation group was significantly lower than that of the control group ( P <0.05).After intervention,the awareness rate of health knowledge and nursing satisfaction score of the observation group were significantly higher than those of the control group ( P <0.05).After intervention,the scores of physical function,psychological function,social function and material function in both groups were significantly higher than those before intervention,and the scores of physical function and psychological function in the observation group were significantly higher than those in the control group ( P <0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group ( P <0.05).Conclusion For acute traumatic fracture patients with depression,the Morita therapy combined with Orem self-care intervention can alleviate depression,improve prognosis and quality of life,and improve self-care ability.
作者
李亚利
王胜利
LI Yali;WANG Shengli(Department of Orthopedics,Tangdu Hospital of Air Force Military Medical University,Xi′an,Shaanxi,710038)
出处
《实用临床医药杂志》
CAS
2019年第17期123-126,共4页
Journal of Clinical Medicine in Practice
基金
陕西省科学技术研究发展计划项目(S20170136740)
