門診骨折患者不良情緒的因素分析與安全策略構(gòu)架

柳曉靜+史國(guó)萍+徐美麗

【摘要】 目的：總結(jié)門診骨折患者不良情緒的相關(guān)因素，探討門診護(hù)理干預(yù)對(duì)骨折患者心理狀態(tài)的影響。方法：選取2012年1月-2014年4月在本院門診就診的90例骨折患者，按照隨機(jī)數(shù)字表法將其分為對(duì)照組和觀察組各45例，對(duì)照組給予常規(guī)護(hù)理，觀察組在常規(guī)護(hù)理基礎(chǔ)上實(shí)施門診護(hù)理安全策略構(gòu)架。在護(hù)理前后評(píng)估兩組患者的SAS、SDS心理評(píng)分。結(jié)果：各不良情緒相關(guān)因素分析顯示：對(duì)疼痛的恐懼、對(duì)手術(shù)過程的恐懼、對(duì)陌生環(huán)境的恐懼、對(duì)麻醉過程的恐懼和對(duì)并發(fā)癥的擔(dān)心與患者的不良情緒均有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組干預(yù)前的SAS、SDS評(píng)分比較差異均無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），而觀察組干預(yù)后的SAS、SDS評(píng)分均明顯低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：對(duì)骨折患者實(shí)施門診護(hù)理安全策略構(gòu)架能改善患者的應(yīng)激狀態(tài)，有利于積極配合后續(xù)治療，值得推廣應(yīng)用。

【關(guān)鍵詞】 門診； 骨折； 護(hù)理干預(yù)； 因素分析； 安全策略構(gòu)架

Factors Analysis and Safety Strategy Frame on Outpatient Fractures Patients' Emotion/LIU Xiao-jing，SHI Guo-ping，XU Mei-li.//Medical Innovation of China，2014，11（28）：070-072

【Abstract】 Objective：To summarize the related factors of outpatient fractures patients emotion，to investigate the clinic effect of nursing intervention on the psychological state of patients with fracture.Method：90 fracture patients in our hospital outpatient clinic from January 2012 to April 2014 were selected，they were divided into the control group and the observation group according to the random number table method，45 cases in each group.The control group was given routine nursing，the observation group was given security policy framework on the basis of routine nursing care.The SAS，SDS score of two groups were evaluated before and after nursing.Result：The bad mood correlation analysis showed：there were statistical significances between pain fear，fear of operation process，unfamiliar environment fear，fear of anesthesia and the complications of worry and the bad emotion of patients （P<0.05）.There were no statistically significant differences in the SAS，SDS scores between the two groups before the intervention（P>0.05），but the SAS，SDS score of the observation group after intervention were significantly lower than those of control group，the differences were statistically significant（P<0.05）.Conclusion：The outpatient nursing safety strategy framework can reduce the stress in patients with fracture，can actively cooperate with the follow-up treatment，is worth promoting the application.

【Key words】 Clinic； Fracture； Nursing intervention； Factor analysis； Security policy framework

First-authors address：Wendeng Osteopathic Hospital of Shandong Province，Wendeng 264400，China

doi：10.3969/j.issn.1674-4985.2014.28.025

骨折是門診骨科患者較為常見的病種，由于骨折給患者帶來(lái)極大的痛苦，加之患者對(duì)手術(shù)的恐懼，很多患者會(huì)出現(xiàn)焦慮抑郁情緒，甚至影響治療，一直困擾著醫(yī)護(hù)人員[1]。臨床研究發(fā)現(xiàn)，門診就診患者心理問題存在多種因素[2]。通過進(jìn)行安全策略構(gòu)架可以取得更佳的治療依從性與后續(xù)治療效果，本文將最近骨折患者不良情緒的相關(guān)因素與護(hù)理對(duì)策做一臨床研究，以期對(duì)臨床借鑒提供依據(jù)。

1 資料與方法

1.1 一般資料 選取2012年1月-2014年4月在本院內(nèi)診就診的90例骨折患者，所有患者均通過臨床癥狀、X線確診為骨折疾病，按照隨機(jī)數(shù)字表法將其分為對(duì)照組和觀察組各45例。對(duì)照組45例患者中，男29例，女16例；年齡28～76歲，平均（48.1±5.9）歲；……