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心理支持疗法对老年股骨颈骨折患者心理状态、疼痛及生活质量的影响

Effect of Psychological Support Therapy on Psychological State, Pain, and Quality of Life of Elderly Patients With Femoral Neck Fracture.

作者信息

Li Qun, Wang Yin, Shen Xiang

机构信息

Department of Orthopedics, The Fourth Hospital of Changsha, Affiliated Changsha Hospital of Hunan Normal University, Changsha, China.

出版信息

Front Surg. 2022 Mar 24;9:865238. doi: 10.3389/fsurg.2022.865238. eCollection 2022.

Abstract

PURPOSE

To explore the intervention effect of psychological support therapy (PST) on elderly patients with femoral neck fracture.

METHODS

A total of 82 elderly patients with femoral neck fractures admitted to our hospital from July 2020 to June 2021 were selected. Patients were randomly divided into conventional group ( = 41) and intervention group ( = 41). The conventional group received routine nursing care. The intervention group was given PST on the basis of the conventional group. The joint function, psychological state, pain, quality of life, and nursing satisfaction of both groups were observed.

RESULTS

Compared with before intervention, the Harris hip joint score and the General Quality-of-Life Inventory-74 scores of both groups increased after the intervention, and the increase was more obvious in the intervention group ( < 0.05). Compared with before intervention, the self-rating anxiety scale, the self-rating depression scale scores, and the visual analog scales score in both groups decreased after the intervention, and the decrease was more obvious in the intervention group ( < 0.05). The total satisfaction of the intervention group (92.68%) was higher than that of the conventional group (75.61%) ( < 0.05).

CONCLUSION

Psychological support therapy has a certain intervention effect on elderly patients with femoral neck fracture, which can improve psychological state, reduce pain, improve quality of life, and improve nursing satisfaction.

摘要

目的

探讨心理支持疗法(PST)对老年股骨颈骨折患者的干预效果。

方法

选取2020年7月至2021年6月我院收治的82例老年股骨颈骨折患者。将患者随机分为常规组(n = 41)和干预组(n = 41)。常规组接受常规护理。干预组在常规组基础上给予心理支持疗法。观察两组患者的关节功能、心理状态、疼痛程度、生活质量及护理满意度。

结果

与干预前相比,两组患者干预后的Harris髋关节评分和生活质量综合评定问卷-74评分均升高,且干预组升高更明显(P < 0.05)。与干预前相比,两组患者干预后的自评焦虑量表、自评抑郁量表评分及视觉模拟量表评分均降低,且干预组降低更明显(P < 0.05)。干预组总满意度(92.68%)高于常规组(75.61%)(P < 0.05)。

结论

心理支持疗法对老年股骨颈骨折患者有一定的干预效果,可改善心理状态、减轻疼痛、提高生活质量并提升护理满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac3/8987194/74bf298453f2/fsurg-09-865238-g0001.jpg

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