护理干预对高龄人工髋关节置换患者心理状况和并发症的影响

目的探讨护理干预对高龄人工髋关节置换患者心理状况和并发症的影响。方法将32例患者随机分为干预组和对照组各16例,对照组按常规护理方法护理,干预组在常规护理的基础上,由责任护士给予护理干预,运用焦虑自评量表(SAS)和抑郁自评量表(SDS)对干预组干预前、干预后SAS和SDS评分,干预组、对照组干预后SAS和SDS评分进行分析比较,统计2组患者髋关节脱位、压疮、坠积性肺炎、下肢静脉栓塞等并发症发生率,进行t检验和χ2检验。结果干预组干预后SAS和SDS评分显著低于其干预前及对照组干预后SAS和SDS评分,并且髋关节脱位、压疮、坠积性肺炎、下肢静脉栓塞等并发症发生率亦显著低于对照组。结论护理干预能够有效地对高龄人工髋关节置换患者进行心理疏导,调整患者的心理状态,从而降低术后并发症的发生率,促进老年患者早日康复,提高患者的生活质量。

Nursing Intervention on Elderly Patients with Total Hip Replacement Effects of Psychological Status and Complications

Objective Study on nursing intervention for elderly patients with total hip replacement effects of psychological status and complications.Methods 32 patients were randomly divided into intervention group and control group with 16 cases in each group,the control group received routine nursing care,in intervention group,the duty nurses were given nursing intervention on the basis of routine nursing,application of the Self-rating Anxiety Scale(SAS) and the Self-rating Depression Scale(SDS) before intervention in the intervention group,SAS and SDS scores after the intervention,the intervention group,the control group with SAS and SDS score were analyzed and compared,statistics of the 2 groups of patients with dislocation of hip joint,pressure sores,hypostatic pneumonia,deep vein thrombosis complication rate,for χ2 test and t test.Results The SAS and SDS score of the intervention group after intervention was significantly lower than before the intervention and control group after intervention,and the complication rate of the dislocation of the hip,pressure sores,hypostatic pneumonia,deep vein thrombosis was significantly lower than that in control group.Conclusion Nursing intervention can effectively counsel psychology of elderly patients with total hip replacement,adjust the psychological status of the patients,so as to reduce the incidence of postoperative complications in elderly patients,promote early recovery of patients,improve the quality of life of patients.