摘要
目的 探究骨折患者行系统性心理干预的有效性。方法 将2023年5月至2024年5月我院500例骨折患者分为实验组（280例，应用系统性心理干预）、对照组（220例，应用常规护理）。对比患者护理满意度评分、干预前后心理弹性状态、负性情绪、舒适度指标变化。结果 实验组护理质量评分（82.01±3.24）分、服务态度评分（81.62±3.44）分、护理效率评分（81.64±3.57）分、技术水平评分（81.04±3.58）分，均比对照组高，P＜0.05；经干预，实验组ADS-R评分（73.41±9.68）分、SER评分（63.85±9.55）分、CD-RISC评分（52.46±6.44）分，与对照组相比，P＜0.05；干预后，实验组SAI评分（37.76±6.58）分、SCL-90评分（25.47±3.14）分、TAI评分（37.89±6.22）分，较之于对照组，P＜0.05；经干预，实验组心理评分（36.34±3.12）分、生理评分（49.57±6.85）分、社会环境评分（28.11±1.68）分、文化评分（16.94±1.46）分，均优于对照组，P＜0.05。结论 系统性心理干预用于骨折患者护理中，利于其心理情绪的改善且护理满意度更高，值得推广。
关键词： 系统性心理干预；骨折；满意度；负性情绪；舒适度
Abstract
Objective To explore the effectiveness of systematic psychological intervention in patients with fracture. Methods 500 patients with fracture in our hospital from May 2023 to May 2024 were divided into experimental group (280 cases, using systematic psychological intervention) and control group (220 cases, using routine nursing). The nursing satisfaction score, mental resilience state, negative emotion and comfort index were compared before and after the intervention. Results The nursing quality score (82.01±3.24) score, service attitude score (81.62±3.44) score, nursing efficiency score (81.64±3.57) score and technical level score (81.04±3.58) score of the experimental group were higher than those of the control group, P < 0.05; After intervention, the ADS-R score of the experimental group was (73.41±9.68), SER score was (63.85±9.55) and CD-RISC score was (52.46±6.44), compared with the control group, P < 0.05; After intervention, SAI score (37.76±6.58) score, SCL-90 score (25.47±3.14) score, TAI score (37.89±6.22) score in experimental group were compared with control group, P < 0.05; After intervention, the psychological score (36.34±3.12), physiological score (49.57±6.85), social environment score (28.11±1.68) and cultural score (16.94±1.46) of the experimental group were all better than those of the control group, P < 0.05. Conclusion Systematic psychological intervention in the nursing of patients with fractures is beneficial to the improvement of their psychological emotions and nursing satisfaction, which is worth promoting.
Key words： Systematic psychological intervention; Fracture; Satisfaction; Negative emotions; Comfort level
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