心理护理对骨折术后心理状态、疼痛和护理满意度的影响

目的 探讨心理护理对骨折术后心理状态、疼痛和护理满意度的影响。方法 回顾性分析2012年8月~2014年8月浙江省黄岩区中医院骨科病房住院患者72例, 将实施心理护理前36例作为对照组, 实施心理护理后36例作为观察组, 比较两组心理状态、疼痛评分、护理满意度。结果 对照组术后72h SAS评分和SDS评分分别为39.38±5.47、39.21±6.14分;观察组术后72h SAS评分和SDS评分分别为36.31±5.32、36.35±5.66分, SAS观察组显著低于对照组(t=2.41, P<0.01), SDS观察组显著低于对照组(t=2.05, P<0.01);对照组疼痛评分入院时、术后24h、术后72h分别为8.52±1.41、7.25±1.81、6.36±1.57分, 观察组疼痛评分入院时、术后24h、术后72h分别为8.74±1.38、6.37±1.45、4.42±1.48分, 术后24h疼痛评分观察组显著低于对照组(t=2.28, P<0.01);术后72h观察组疼痛评分低于对照组更明显(t=5.40, P<0.01);对照组护患沟通、护理主动性、服务态度分别为4.23±0.42、4.18±0.43、4.16±0.46分, 观察组护患沟通、护理主动性、服务态度分别为4.51±0.44、4.41±0.38、4.39±0.48分, 两组满意度比较差异有统计学意义(t=2.07~2.76, P<0.01)。结论 心理护理能改善骨折术后心理状态和疼痛, 提高护理满意度。

Effect of Psychological Nursing on Psychological State,Pain and Nursing Satisfaction after Fracture

Objective To investigate the effect of psychological nursing on psychological state, pain and nursing satisfaction after fracture. Methods Totally 72 cases of in-patients in department of orthopedics, Huangyan Hospital of traditional Chinese medicine in Zhejiang Province, were retrospectively analysed from august 2012 to august 2014. Thirty-six patients before psychological nursing were selected as control group and thirty-six patients after psychological nursing were selected as observation group. Then the psychological state, pain and nursing satisfaction between the two groups were compared. Results The score of SAS and SDS on the 72^th hour after operation in the control group was 39.38±5.47 and 39.21±6.14, and the score of SAS and SDS on the 72^th hour after operation in observation group was 36.31±5.32 and 36.35±5.66.The SAS was significantly lower in the observation group than in the control group(t=2.41, P<0.01), and the SDS was significantly lower in the observation group than in the control group(t=2.05, P<0.01). The pain score at admission, after 24h, 72h after the operation in the control group was 8.52±1.41, 7.25±1.81, 6.36±1.57 respectively, and the pain score at admission, after 24 hours, 72 hours after the operation in the observation group was 8.74±1.38, 6.37±1.45, 4.42±1.48 respectively. The pain scores on the 24^th hour after the operation were significantly lower in the observation group than the control group(t=2.28, P<0.01), and the pain scores on the 72^th hour after the operation were more obviously lower in the observation group than the control group(t=5.40, P<0.01). The score of nurse-patient communication, nursing initiative, service attitude in the control group was 4.23±0.42, 4.18±0.43 and 4.16±0.46 respectively, and the score of nurse- patient communication, nursing initiative, service attitude in the observation group was 4.51±0.44, 4.41±0.38 and 4.39±0.48 respectively.For the patient satisfaction being compared, there was significant difference between the two groups (t=2.07-2.76, P<0.01). Conclusion Psychological nursing can improve psychological state and pain after the operation, and it also can improve nursing satisfaction.