心理护理干预与健康教育对骨科择期手术患者心理状况的影响熊利华.docVIP

精品论文 参考文献 心理护理干预与健康教育对骨科择期手术患者心理状况的影响熊利华 衡东县中医医院 湖南衡东 421400 【摘 要】目的 探讨心理护理干预与健康教育对骨科择期手术患者心理状况的影响。方法 选取2014年7月~2016年6月我院骨科收治的择期行手术治疗的180例患者作为研究对象，采取随机数字表将其分成两组，每组90例。两组患者均给予常规护理干预，观察组在此基础上加强心理护理与健康教育，比较两组患者干预前后抑郁、焦虑及恐惧程度，同时评价两组患者的满意度。结果 观察组干预后SAS、SDS及FAVS评分均较干预前明显下降（Plt;0.01），且明显低于对照组干预后（Plt;0.01）；对照组干预前后SAS、SDS及FAVS评分比较则无统计学差异（Pgt;0.05）。观察组护理满意度为97.78%，与对照组的85.56%相比有明显上升（Plt;0.01）。结论 对骨科择期手术患者联合给予心理护理干预与健康教育可有效改善患者的负性心理情绪，提高患者的满意度。 【关键词】心理护理，健康教育，骨科，择期手术 【Abstract 】 objective to investigate the psychological nursing intervention and health education impact on the psychological status of patients with orthopaedic undergoing elective surgery. Methods selected in July 2014 to June 2014 in our orthopaedic hospital were haing electie surgical treatment of 180 patients as the research object，adopt random number table is divided into two groups，its 90 cases in each group. Two groups of patients were given routine nursing intervention，the observation group on the basis of strengthening psychological nursing and health education，compared two groups of patients before and after the intervention degree of depression，anxiety and fear，and evaluation of two groups of patients satisfaction. Results observation group after the intervention of SAS，SDS and FAVS scores were significantly decreased，compared with before（P lt; 0.01），and significantly lower than the control group after intervention（P lt; 0.01）；Control group SAS，SDS and FAVS score comparison before and after the intervention，no statistical difference（P gt; 0.05）. Observation group nursing satisfaction was 97.78%，compared with 85.56% in the control group significantly increased（P lt; 0.01）. Conclusion for orthopaedic patients with elective surgical procedures can be combined to give psychological nursing intervention and health education can effectively improve the patients negative psychological mood，improve patient satisfaction. 【Key words 】 psychological nursing，health education，orthopedist，undergoing elective sur