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目的探究心理护理教育对老年股骨颈骨折患者心理弹性的影响。方法收集我院就诊的老年股骨颈骨折患者120例,按数字表法随机分为对照组60例和观察组60例。其中对照组行常规护理,观察组在对照组的基础上行心理护理教育,对入院、出院时患者焦虑自评量表(SAS)、抑郁自评量表(SDS),出院时心理弹性量表、生理应激指标和心理应激指标进行统计学分析。结果入院时两组SAS和SDS评分比较,差异无统计学意义(P>0.05);出院时观察组SAS和SDS评分均较对照组低,且观察组出院较入院时的焦虑和抑郁的得分的改善程度较对照组更为显著,其中观察组在出入院焦虑和抑郁得分上的减分值分别为(23.6±4.8)分、(22.0±2.9)分,而对照组在焦虑和抑郁得分上的减分值分别为(17.3±1.2)分、(13.4±2.6)分,差异均有统计学意义(P<0.05);出院时心理弹性量表统计结果显示观察组心理弹性量表总分较对照组高(P<0.05);生理应激指标检测结果为观察组血糖水平低于对照组,胰高血糖素水平高于对照组,心理应激指标检测结果为观察组汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、数字评价量表(NRS)评分均低于对照组(P<0.05)。结论心理护理教育可以增加老年人股骨颈骨折心理弹性,提高自我效能认定,有助于患者情绪的调节,对骨折的恢复起积极作用。
Objective To investigate the effect of psychological nursing education on mental resilience of elderly patients with femoral neck fracture. Methods A total of 120 elderly patients with femoral neck fracture were collected and divided into control group (60 cases) and observation group (60 cases) according to the digital table method. The control group underwent routine nursing care. The observation group received psychological nursing education on the basis of the control group. SAS, SDS, discharge psychology elasticity scale, Physiological stress indicators and psychological stress indicators for statistical analysis. Results There was no significant difference in SAS and SDS score between the two groups at admission (P> 0.05). The scores of SAS and SDS in the observation group were lower than those in the control group at discharge, and the scores of anxiety and depression in the observation group The degree of improvement was more significant than that of the control group, in which the scores of anxiety and depression in the observation group were (23.6 ± 4.8) and (22.0 ± 2.9) points respectively, while those in the control group were significantly higher than those in the control group (17.3 ± 1.2) points and (13.4 ± 2.6) points respectively, the differences were statistically significant (P <0.05). The statistical results of the psycho-elastic scale at discharge showed that the total score of the psycho-elastic scale in the observation group was significantly lower than that of the control group (P <0.05). The results of physiological stress test showed that the blood glucose level of the observation group was lower than that of the control group, and the level of glucagon was higher than that of the control group. The psychological stress index test showed that the Hamilton Depression Rating Scale (HAMD) Score, Hamilton Anxiety Scale (HAMA) score and NRS score were lower than those of the control group (P <0.05). Conclusions Psychological nursing education can increase the mental elasticity of the femoral neck fractures in the elderly and improve their self-efficacy, which helps to adjust the emotion of the patients and play an active role in the recovery of fractures.