持续性护理在改善骨折患者心理状态及对肢体恢复的积极作用探讨-现代医学

持续性护理在改善骨折患者心理状态及对肢体恢复的积极作用探讨

单位：1. 吉林大学第一医院二部骨科, 吉林长春 130031;
2. 吉林大学第一医院急诊科, 吉林长春 130031

分类号：R473.6

出版年·卷·期（页码）：2017·36·第七期（1019-1022）

摘要：

目的：探讨持续性护理对骨折患者心理状态的改善和肢体功能恢复的积极作用。方法：选取126例骨折患者借助随机综合序贯法进行分组，其中常规组（63例）给予常规护理干预，试验组（63例）给予持续性护理。观察心理状态、肢体恢复和满意度情况，并对比相关数据差异，明确持续性护理对骨折患者心理状态和肢体恢复的作用。结果：HAMA和HAMD评分2组间以及本组内护理前后比较差异均有统计学意义（P<0.05）；2组肢体恢复和患者满意度分布情况数据组间比较均有显著性差异（P<0.05），且试验组肢体恢复总显效率和总满意度分别为95.24%和98.41%，常规组仅为74.60%和80.95%，均有显著性差异（P<0.05）。结论：在骨折患者中应用持续性护理能够显著改善心理状态，促进肢体恢复，且显著提高护理质量。

Objective: To discuss the continuous nursing care on the improvement of psychological state and positive effect on limb recovery in patients with fracture. Methods: One hundred and twenty-six cases of patients with fracture were enrolled and divided into groups by the stochastic comprehensive sequential method, among which the routine group (with sixty-three cases) were given routine nursing intervention, while the experimental group (with sixty-three cases) were given continuous nursing care. The psychological state, body recovery and satisfaction were observed, and the differences in the data were compared between the two groups, in order to definite the effect of continuous nursing care on mental state and limb recovery in patients with fracture. Results: The differences in the HAMA and HAMD scores between the two groups and the same group before and after nursing were statistically significant (P<0.05). There were significant differences between the two groups in the distribution of body recovery and patient satisfaction (P<0.05), and the total effective rate and total satisfaction of limb recovery in the experimental group were respectively 95.24% and 98.41%, while the routine group were only 74.60% and 80.95%, with obvious differences (P<0.05). Conclusion: The application of continuous nursing care in patients with fracture can significantly improve the psychological state, promote limb recovery, and significantly improve the quality of care.

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