情志护理干预对老年骨折手术患者应激反应及睡眠质量的影响观察

林静 曾宇婷 谢智灵

摘要目的：评价情志护理对老年骨折手术患者应激反应和睡眠质量的影响。方法：选取2016年9月至2018年7月福建中医药大学附属人民医院收治的老年骨折手术患者100例作为研究对象，采用摸球法随机分为对照组与观察组，每组50例。对照组患者接受常规护理干预，观察组采用情志护理干预。比较2组患者的睡眠质量、并发症与应激反应发生率。结果：观察组的应激反应发生率、并发症发生率低于对照组，睡眠质量高于对照组。结论：对老年骨折手术患者实施情志护理干预，可控制应激反应，提升其睡眠质量。

关键词情志护理;应激反应;睡眠质量

Effect of Emotional Nursing Intervention on Stress Response and Sleep Quality in Elderly Patients Undergoing Fracture Surgery

LIN Jing，ZENG Yuting，XIE Zhiling

（The Affiliated People′s Hospital of FujianUniversity of Traditional Chinese Medicine，Fuzhou 350000，China）

AbstractObjective：To evaluate the effects of emotional care on stress response and sleep quality in elderly patients undergoing fracture surgeryMethods：A total of 100 cases of elderly fracture surgery treated in our hospital from September 2016 to July 1818 were divided into control group（n=50）and observation group（n=50）And receive regular nursing intervention and emotional care interventionThe sleep quality，complications，and incidence of stress response were compared between the two groupsResults：The incidence of stress reaction and the incidence of complications in the observation group were lower than those in the control group，and the quality of sleep was higher than that in the control groupConclusion：Emotional nursing intervention for elderly fracture surgery patients can control stress response and improve their sleep quality.

KeywordsIntensive pain care;Sleep quality;Nursing satisfaction

中图分类号：R4736;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.023

老年骨折手术患者其身体素质较低、抗病能力较弱，往往在手术治疗的过程中容易出现较差的麻醉效果，同时，此类患者还易产生恐惧、忧虑等不良情绪，并发症与应激反应发生率通常居高不下[1]。本文以老年骨折手术患者為研究对象，在对其进行常规护理的基础上加强了情志护理干预，具体报道如下。

1资料与方法

11一般资料选取2016年9月至2018年7月福建中医药大学附属人民医院收治的老年骨折手术患者100例作为研究对象，采用摸球法随机分为对照组与观察组，每组50例。对照组患者年龄61～87岁，平均年龄（757±12）岁;出现上肢骨折16例，下肢骨折13例，躯干骨折21例;观察组患者年龄62～88岁，平均年龄（755±13）岁;出现上肢骨折16例，下肢骨折14例，躯干骨折20例。2组患者一般资料比较，差异无统计学意义（P>005），具有可比性。