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质量反馈护理对全髋置换术患者睡眠质量、心理状态的影响

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目的 探讨质量反馈护理对全髋置换术患者睡眠质量、心理状态的影响。方法 选择 2020 年 2 月至 2022 年2 月郑州市第六人民医院收治的 94 例行全髋置换术患者,按简单随机化法分组。对照组(47 例)接受常规护理干预,研究组(47 例)接受质量反馈护理干预。记录两组下床活动及住院时间,比较干预前后两组髋关节功能、疼痛、心理状态、睡眠质量、并发症与护理满意度。结果 研究组下床活动与住院时间均短于对照组,差异有统计学意义(P<0。05)。两组干预后髋关节(Harris)、简明健康状况调查表(SF-36 量表)评分高于干预前,疼痛数字评分法(NRS)、匹兹堡睡眠质量指数(PSQI)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于干预前,且研究组Harris、SF-36 评分高于对照组,NRS、PSQI、HAMA、HAMD评分低于对照组,差异有统计学意义(P<0。05)。研究组并发症发生率(2。13%)低于对照组(14。89%),护理满意度(95。74%)高于对照组(78。72%),差异有统计学意义(P<0。05)。结论 质量反馈护理应用于全款置换术患者可改善心理状态,提高睡眠质量。
Influence of Quality Feedback Nursing on Sleep Quality and psychological State of total Hip Replacement Patients
Objective To explore the effect of quality feedback nursing on sleep quality and psychological state of total hip replacement patients.Methods A total of 94 cases of total hip replacement patients admitted to Zhengzhou Sixth People's Hospital from February 2020 to February 2022 were selected and grouped according to simple randomization method.The control group(47 cases)received conventional nursing intervention,and the study group(47 cases)received quality feedback nursing intervention.The activity of getting out of bed and the time of hospitalization in the two groups were recorded,and the hip function,pain,psychological status,sleep quality,complications and nursing satisfaction were compared between the two groups before and after intervention.Results The activity of getting out of bed and hospitalization time in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.05).After the intervention,the hip joint(Harris)and the MOS item short from health survey(SF-36 scale)scores were higher in both groups than before,while the pain numeric rating scale(NRS),Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Scale(HAMA),and Hamilton Depression Scale(HAMD)scores were lower than those before the intervention.In addition,the Harris and SF-36 scores in the study group were higher than those in the control group,while the NRS,PSQI,HAMA,and HAMD scores were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group(2.13%)was lower than that in the control group(14.89%),and nursing satisfaction(95.74%)was higher than that in the control group(78.72%),with a statistically significant difference(P<0.05).Conclusion The application of quality feedback nursing in patients undergoing full replacement surgery can improve their psychological state and improve sleep quality.

total hip replacement surgeryquality feedback nursingsleep qualitypsychological statequality of life

海玉杰、韩冰

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郑州市第六人民医院 骨科,河南 郑州 450000

全髋置换术 质量反馈护理 睡眠质量 心理状态 生活质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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