陆春芳

【摘要】 目的：探讨循证护理对髋部骨折手术患者心理健康和术后康复的影响。方法：选择2015年4月-2017年6月60例髋部骨折手术患者，随机分为研究组和对照组，各30例。对照组给予手术室常规护理，研究组采取循证护理，观察两组心理健康（焦虑自评量表-SAS、抑郁自评量表-SDS）变化，比较两组术后康复（Barthel指数、下床时间、住院时间）情况。结果：SAS、SDS评分比较，护理前两组差异无统计学意义（P>0.05），护理后，研究组低于对照组，差异有统计学意义（P<0.05）。Barthel指数评分比较，护理前两组差异无统计学意义（P>0.05），护理后，研究组高于对照组，差异有统计学意义（P<0.05）。下床时间和住院时间比较，研究组短于对照组，差异有统计学意义（P<0.05）。结论：循证护理可改善髋部骨折手术患者的心理健康状况，促进术后康复。

【关键词】 髋部骨折； 循证护理； 心理健康； 术后康复

doi：10.14033/j.cnki.cfmr.2018.6.044 文献标识码 B 文章编号 1674-6805（2018）06-0090-03

Effects of Evidence-Based Nursing on Psychological Health and Postoperative Rehabilitation in Patients with Hip Fracture/LU Chunfang.//Chinese and Foreign Medical Research，2018，16（6）：90-92

【Abstract】 Objective：To investigate the effects of evidence-based nursing on psychological health and postoperative rehabilitation in patients with hip fracture.Method：60 cases of hip fracture for surgery，selected from April 2015 to June 2017，were randomly divided into the study group and the control group with 30 cases in each group.The control group was given routine nursing in operation room，the study group received evidence-based nursing.Psychological health（self rating anxiety scale-SAS and self rating depression scale-SDS） were observed in the two groups，and postoperative rehabilitation（Barthel index，ambulation time，hospitalization time） were compared between the two groups.Result：There were no significant difference in SAS cores and SDS cores in the two groups before nursing（P>0.05）；after care，SAS cores and SDS cores in the study group were lower than those in the control group （P<0.05）.There was no significant difference in Barthel index score between the two groups before nursing（P>0.05）；after care，Barthel index score in the study group was higher than that in the control group （P<0.05）.Ambulation time and hospitalization time in the study group were less than those in the control group（P<0.05）.Conclusion：Evidence-based nursing could improve psychological health and promote postoperative rehabilitation in patients with hip fracture.

【Key words】 Hip fracture； Evidence-based nursing； Psychological health； Postoperative rehabilitation

First-authors address：The Hospital of Traditional Chinese Medicine Orthopaedics in Jiangyin，Jiangyin 214422，China

随着我国经济快速发展和老年社会来临，髋部骨折的发生率逐步增多，其中主要是股骨颈骨折和股骨粗隆间骨折，严重影响患者的日常生活水平和心理健康。手术是治疗髋部骨折的主要方法，然而，患者常因骨折造成的疼痛不适及手术室陌生的环境等产生心生焦虑、恐惧、抑郁等不良心理，更有甚者担心手术后的康复问题，影响手术的效果[1]。研究表明，护理干预可改善髋部骨折手术患者的髋关节功能，降低术后并发症，促进临床康复[2]。因此，运用科学、高效的护理方式对髋部骨折患者的术后康复、生活质量改善和心理的健康至關重要。循证护理是随循证医学发展的一种新型的护理模式，通过对现有文献资料的查阅、整理，找寻循证医学支持的最佳证据，针对性分析临床护理中存在的问题并给予个性化解决的护理过程，从而提高护理质量[3]。本……