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目的探讨快优临床护理路径对股骨骨折手术患者心理状态的影响。方法将300例股骨骨折手术患者按随机数字表法分为对照组和观察组各150例,对照组给予常规护理,观察组按照快优临床护理路径实施护理,比较入院组时和出院时两组患者症状自评量表(SCL-90)评分情况。结果入院时两组患者除躯体化、人际敏感因子,其余各因子均分差异无统计学意义(P>0.05);出院时,两组患者在敌对、精神病性和偏执等3个因子均分比较差异无统计学意义(P>0.05);在强迫、抑郁、焦虑、恐惧等4个因子均分观察组与对照组比较,差异有统计学意义(P<0.05)。结论有效缓解、减轻其焦虑、恐惧等负性心理情绪,增强患者康复的信心,促进患者的功能康复和达到自主锻炼的目的。
Objective To investigate the influence of clinical nursing path in fasting on the psychological status of femoral fractures patients. Methods 300 patients with femoral fractures were divided into control group and observation group according to random number table method. The control group was given routine nursing. The observation group was given care according to the quick clinical nursing pathway. The patients in the admission group and discharge group were compared. Patient Symptom Self-rating Scale (SCL-90) score. Results There were no significant differences in mean scores of somatosensory and interpersonal sensitivity between the two groups (P> 0.05) except for somatization and interpersonal sensitivity factors (P> 0.05). On discharge, the two groups were equally divided among the three factors of hostility, psychosis and paranoid There was no significant difference between the observation group and the control group (P <0.05). There was a significant difference between the observation group and the control group in the four factors of compulsion, depression, anxiety and fear. Conclusions Effectively relieve and alleviate the negative psychological emotions such as anxiety and fear, enhance confidence in patients’ recovery, and promote the functional rehabilitation of patients and achieve the goal of self-exercising.