叶彩霞 苏晓 肖红玉

摘要目的：探究情志护理对老年骨折手术患者应激反应与睡眠质量的影响。方法：选取2019年5至9月厦门大学附属第一医院的老年骨折手术患者94例作为研究对象，随机分为对照组和观察组，每组47例。对照组进行常规护理，观察组进行情志护理。比较2组的应激反应（血液去甲肾上腺素、肾上腺素和肾素水平）及睡眠质量[匹兹堡睡眠质量指数（PSQI）]评分。结果：观察组患者的去甲肾上腺素、肾上腺素和肾素水平均显著低于对照组，差异有统计学意义（P<005）;护理前2组的PSQI评分比较，差异无统计学意义（P>005），护理后观察组的PSQI评分显著低于对照组，差异有统计学意义（P<005）。结论：情志护理干预可显著改善老年骨折手术患者的应激反应，提高睡眠质量。

关键词老年骨折患者;手术治疗;情志护理;应激反应;睡眠质量

Study on the Improvement Effect of Emotional Nursing for Postoperative Stress Response and Sleep Quality of Elderly Patients with Fracture

YE Caixia，SU Xiao，XIAO Hongyu

（First Affiliated Hospital of Xiamen University，Xiamen 361000，China）

AbstractObjective：To explore the influence of emotional nursing for stress response and sleep quality of elderly patients with fracture surgeryMethods：A total of 94 elderly patients with fracture surgery in First Affiliated Hospital of Xiamen University from May 2019 to September 2019 were divided into control group and observation group by cluster randomizationThe control group were with routine nursing，while the observation group were with emotional nursingThen the stress response（norepinephrine，adrenaline and renin）and sleep quality[Pittsburgh Sleep Quality Index（PSQI）] score of two groups were comparedResults：The norepinephrine，adrenaline and renin of observation group were lower than those of control group，there were statistically significant differences（P<005）;the sleep scores of two groups before nursing were compared，there was statistically significant difference（P>005），the sleep scores of observation group after nursing was significantly lower than that of control group，there was statistically significant difference（P<005）Conclusion：The emotional nursing intervention can effectively improve the stress response and sleep quality of elderly patients with fracture surgery.

KeywordsElderly patients with fracture;Surgical treatment;Emotional nursing;Stress response;Sleep quality

中图分类号：R4736文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.021

随着社会人口老龄化的发展趋势，大部分老年人的机体应变能力和器官功能都随着年龄的增加而逐渐衰退，从而也一定程度增加了骨折情况的发生[1]。手术疗法是目前临床治疗此疾病的常用手段，虽然手术方法的应用取得一定疗效，但因患者对手术治疗认知较低及手术治疗具有創伤性，容易出现术后应激反应，影响睡眠质量。对此加强护理干预配合非常重要。情志护理是一种新型的护理模式，近几年在临床逐渐开始应用，备受临床关注[2]。故本研究采用情志护理对老年骨折手术患者进行干预，现报道如下。

1资料与方法

11一般资料选取2019年5月至9月厦门大学附属第一医院收治的老年骨折手术患者94例作为研究对象，随机分为对照组和观察组，每组47例。……