心理护理干预在骨科老年患者术后精神障碍中的效果评价

【目的】探讨心理护理干预措施在骨科老年患者术后精神障碍中的实施效果。【方法】将择期手术的60例骨科老年患者按前后时间段分为对照组和观察组各30例，对照组给予骨科围术期常规护理，观察组在常规护理的基础上给予针对精神障碍的心理护理干预，比较两组患者术前与术后7 d抑郁自评量表（SDS）和焦虑自评量表（SAS）评分及抑郁、焦虑发生率。【结果】观察组术后7 d患者 SDS、SAS评分较干预前及对照组显著下降（P＜0．05），抑郁、焦虑发生率分别为10．00％（3/30）与16．67％（5/30），显著低于对照组的30．00％（9/30）与40．00％（12/30），差异均有统计学意义（P＜0．05）。【结论】对骨科老年患者实施有针对性的心理护理干预，对预防和减少术后抑郁、焦虑的发生具有重要的应用价值。

Assessment of the Efficacy of Psychological Nursing Intervention for Mental Disorder in Elderly Patients after Orthopedic Operation

Objective]To explore the implementation efficacy of comprehensive nursing intervention for mental disorder in elderly patients after orthopedic operation.Methods]Totally 60 elderly patients scheduled for selective operation in orthopedics department were randomly divided into observation group and control group with 30 patients in each group.The control group was given conventional nursing care in perioperative period of orthopedics,while the observation group was given psychological nursing intervention for mental dis-orders on the basis of routine care.Self-rating depression scale（SDS）,self-rating anxiety scale（SAS）score and the incidence of depression and anxiety incidence before and 7d after surgery were compared between two groups.Results]Compared with control group,SDS and SAS scores in observation group 7d after operation were decreased significantly（P〈0.05）.The incidence rate of depression and anxiety incidence in observation group was 10.00%（3/30）and 16.67%（5/30）respectively,which was markedly lower than that in control group30%（9/30）and 40%（12/30）],and there was significant difference（P〈0.05）.Conclusion]Imple-mentation of psychological nursing intervention for elderly patients in orthopedics department has important application value for preventing and reducing the incidence of postoperative depression and anxiety.