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叙事护理干预对骨关节置换术后患者情绪影响的研究

Narrative Nursing Intervention on the Emotional Effects of Patients after Bone and Joint Replacement.

出版信息

Altern Ther Health Med. 2023 Nov;29(8):20-25.

PMID:37535918
Abstract

OBJECTIVE

Narrative nursing intervention was given to patients after bone and joint replacement to analyze the emotional effects of the intervention on patients after bone and joint replacement.

METHOD

Retrospective analysis was performed on the clinical information of 50 patients who underwent bone and joint replacement and were admitted to our hospital between January 2021 and February 2022. Depending on various nursing techniques, fifty patients who had undergone joint and bone replacements were randomly assigned into two groups consisting of 25 individuals each. One group served as the control group, while the other group acted as the observation group. Various nursing techniques were employed for both groups. Scores for quality of life, compliance with nursing standards, overall nursing satisfaction, complication rates, and anxiety and depression before and after nursing were compared between the two groups. Additionally, the pain scores before and 3 days, one week, and two weeks after nursing were compared between the two groups.

RESULTS

Before the nursing intervention, the differences in each observed index between the two groups were not significant. Following the nursing intervention, the observation group's nursing compliance, total nursing satisfaction rate, and quality of life score were higher than those of the control group, and there was a statistically significant difference between the groups when comparing the corresponding data, with P < .05. After nursing, the observation group's index of complication rate was lower than that of the control group, with P < .05. Three days, one week, and two weeks after nursing, both groups' pain, anxiety, and depression scores decreased. The changing trend in the observation group after the nursing intervention compared to before was more significant, and there was a statistical difference when compared to the corresponding data in the control group with P < .05.

CONCLUSIONS

Patients benefited from narrative nursing interventions following the implementation of bone or joint replacement because they increased nurse compliance and satisfaction, significantly improved quality of life, decreased complication rates, and decreased pain levels, all of which helped to stabilize the patient's emotional state.

摘要

目的

对骨关节置换术后患者进行叙事护理干预,分析干预对骨关节置换术后患者的情绪影响。

方法

回顾性分析 2021 年 1 月至 2022 年 2 月我院收治的 50 例行骨关节置换术患者的临床资料,根据不同护理方法,将 50 例行骨关节置换术患者分为两组,每组 25 例,一组为对照组,一组为观察组,两组患者均采用不同的护理方法,比较两组患者生活质量评分、护理标准依从性、整体护理满意度、并发症发生率、护理前后焦虑抑郁评分,比较两组患者护理前及护理后 3d、1 周、2 周的疼痛评分。

结果

护理干预前,两组各观察指标比较差异无统计学意义;护理干预后,观察组护理依从性、总护理满意度评分、生活质量评分均高于对照组,组间相应数据比较差异有统计学意义(P<0.05);护理后观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);护理后两组疼痛、焦虑、抑郁评分均降低,观察组护理干预后各指标变化趋势较对照组更明显,与对照组相应数据比较差异有统计学意义(P<0.05)。

结论

患者在骨关节置换术后实施叙事护理干预,可提高护士的依从性和满意度,显著提高生活质量,降低并发症发生率,减轻疼痛程度,稳定患者情绪状态。

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