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目的分析股骨颈骨折高龄患者经髋关节置换术治疗后情绪障碍的有效护理方法。方法接受髋关节置换术治疗后出现情绪障碍的股骨颈骨折高龄患者500例,随机分为对照组和观察组,每组250例。对照组患者在手术结束后按照常规护理方式对患者进行护理,包括常规生活指导、康复指导等。观察组在术后对患者实施常规护理基础上的心理护理干预。观察比较两组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分情况。结果护理前,观察组患者的SAS评分、SDS评分分别为(66.86±4.21)、(61.35±4.18)分,对照组患者的SAS评分、SDS评分分别为(67.01±4.15)、(60.62±4.31)分;护理后,观察组患者的SAS评分、SDS评分分别为(29.27±2.91)、(26.71±3.94)分,对照组患者的SAS评分、SDS评分分别为(46.91±2.88)、(49.52±4.83)分。两组患者护理前的SAS评分、SDS评分比较,差异无统计学意义(P>0.05)。两组患者护理后的SAS评分、SDS评分均低于护理前,且观察组患者的SAS评分、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论将心理护理干预用于经髋关节置换术治疗的股骨颈骨折高龄患者,能缓解患者负面情绪,值得推广。
Objective To analyze the effective nursing method of emotion disorder after the treatment of hip arthroplasty in elderly patients with femoral neck fracture. Methods A total of 500 elderly patients with femoral neck fractures who experienced mood disorders after hip arthroplasty were randomly divided into control group and observation group with 250 cases in each group. Patients in the control group were treated according to the routine nursing mode after the operation, including routine life guidance and rehabilitation guidance. The observation group received psychological nursing intervention on the basis of routine nursing. The anxiety self-rating scale (SAS) and the self-rating depression scale (SDS) scores of two groups were observed and compared. Results Before treatment, the scores of SAS and SDS in the observation group were (66.86 ± 4.21) and (61.35 ± 4.18), respectively. The scores of SAS and SDS in the control group were (67.01 ± 4.15) and (60.62 ± 4.31) The scores of SAS and SDS in the observation group were (29.27 ± 2.91) and (26.71 ± 3.94), respectively. The scores of SAS and SDS in the control group were (46.91 ± 2.88) and (49.52 ± 4.83 )Minute. There was no significant difference in SAS scores and SDS scores between the two groups before nursing (P> 0.05). SAS scores and SDS scores of the two groups after nursing were lower than those before nursing. SAS scores and SDS scores of the observation group were lower than those of the control group, the differences were statistically significant (P <0.05). Conclusion Psychological nursing intervention for elderly patients with femoral neck fracture treated by hip arthroplasty can alleviate the negative emotions of patients and is worth promoting.