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医护一体化正性暗示对骨折手术患者负性情绪及预后效果的影响研究

作者:敢志惠

所属单位:河南省漯河市第三人民医院急诊科 (河南 漯河 462000)

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摘要

目的 研究医护一体化正性暗示对骨折手术患者负性情绪及预后效果的影响。方法 纳入我院196例拟行择期手术 的骨折患者,随机将其分为实验组(98例)与对照组(98例),对照组采用常规护理,实验组联合医护一体化 正性暗示护理,对比两组患者负面情绪、术中生理指标及护理满意度。结果 干预后两组SAS、SDS得分均显著 降低(P<0.05),且实验组降低幅度大于对照组(P<0.05);实验组术中血压及心率波动幅度显著低于对照组 (P<0.05);实验组满意程度显著高于对照组(P<0.05)。结论 医护一体化正性暗示能有效排解骨折患者负面情 绪,减小术中血压、心率波动幅度,提高家属满意程度,值得临床推广。

Objective To study the influence of positive suggestion of medical and nursing integration on negative emotions and prognosis effects in patients undergoing fracture surgery. Methods 196 fracture patients undergoing selective operation in our hospital were randomly divided into experimental group (98 cases) and control group (98 cases). The control group was given routine nursing, while the experimental group was given medical and nursing integration combined with positive suggestion nursing. The negative emotions, intraoperative physiological indicators and nursing satisfaction were compared between two groups. Results After intervention, the SAS and SDS scores in the two groups were all significantly decreased (P<0.05), and the decrease in the experimental group was more than that in the control group (P<0.05), the fluctuation range of intraoperative blood pressure and heart rate in the experimental group was significantly lower than in the control group (P<0.05), the nursing satisfaction in the experimental group was significantly higher than that in the control group (P<0.05). Conclusion The positive suggestion of medical and nursing integration can effectively resolve the negative emotions of patients with fracture, reduce the fluctuation of blood pressure and heart rate during operation, and improve the satisfaction of family members. Thus, it is worthy of clinical promotion.

【关键词】医护一体化正性暗示;骨折手术患者;负面情绪;预后效果

【中图分类号】R473.6

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.03.028

前言

骨折具有突发性,患者在一瞬间活动受限,严重 者卧床不起,生活自理能力严重下降甚至完全丧失, 需要在他人帮助下才能解决基本的生活问题;患者在 承受着骨折带来不便的同时,还需忍受治疗的剧痛, 面对术后漫长的恢复过程,故易产生害怕、忧郁、 不耐烦等负面情绪,影响手术效果和术后恢复[1]。因 此,在外科治疗的基础上,采取有效措施安抚病人负 面情绪也相当重要,医护一体化正性暗示通过医护人 员之间充满正能量的对话,自信轻松的表情及行为,给予患者正面的心理暗示,使患者主动配合治疗的 一种心理疏导方法[2]。本研究针对我院收治的骨折患 者,研究医护一体化正性暗示对患者负面情绪及预后 效果的影响,具体报道如下。