胸腰椎骨折患者术后心理变化及满意度的研究.docVIP

胸腰椎骨折患者术后心理变化及满意度的研究 　　[摘要] 目的 观察心理护理干预对胸腰椎骨折患者术后心理变化及满意度的影响。 方法 将2012年12月～2013年12月住院实行手术的68例胸腰椎骨折患者，按照护理方法分为对照组和观察组，对照组34例患者常规护理，观察组34例患者在常规护理基础上实行心理护理干预，比较两组患者术后心理变化及满意度。 结果 实施心理护理干预的观察组术后焦虑评分（2.39±0.62）、抑郁评分（2.57±0.71）、躯体化症状评分（2.61±0.89），均显著好于对照组（3.25±0.78）、（2.96±0.54）、（3.25±0.93），P＜0.05；观察组患者满意度达94.1%，显著高于对照组患者满意度76.7%（P＜0.05）。 结论 对胸腰椎骨折患者进行心理护理干预，有利于术后缓解患者焦虑等情绪，提高患者满意度。 　　[关键词] 胸腰椎骨折；心理护理干预；焦虑量表评定；患者满意度 　　[中图分类号] R473.6#8195;#8195;#8195;[文献标识码] B#8195;#8195;#8195;[文章编号] 2095-0616（2014）11-137-03 　　 　　The effect of psychological changes and satisfaction on patients after thoracolumbar fracture surgery with psychological nursing intervention 　　ZHAO#8195;Huirong 　　Department of Orthopedics, Traditional Chinese Medicine Hospital of Penglai, Penglai 265600,China 　　[Abstract] Objective To observe the effect of psychological changes and satisfaction on patients after thoracolumbar fracture surgery with psychological nursing intervention. Methods 68 patients treated by thoracolumbar fracture surgery in our hospital from December 2012 to December 2013 were divided into two groups according to nursing methods,34 patients of control group were used routine care, 34 patients of observation group were used psychological nursing intervention based on routine care, the psychological changes and satisfaction of two groups were compared. Results The anxiety score(2.37±0.64), depression score(2.53±0.69), somatization symptom score(2.60±0.87) of observation group were better than anxiety score(3.24±0.79), depression score(2.97±0.55), somatization symptom score(3.26±0.92) of control group, P＜0.05;the satisfaction of observation group were 93.9% and batter than 79.1% of control group(P＜0.05). Conclusion Psychological nursing intervention is good for relieving anxiety and other emotions, improving patient satisfaction. 　　[Key words] Thoracolumbar fracture; Psychological nursing intervention; HAMD; Satisfaction 　　胸腰椎骨折是指由外力造成胸腰椎骨质连续性的破坏。胸腰椎骨折常见的原因包括外伤、绝经后骨质疏松、恶性肿瘤及继发性骨质疏松。胸