摘要
目的调查创伤性骨折手术对患者创伤性心理应激反应的影响,并分析影响患者创伤性心理应激反应影响因素,为医护人员制定有针对性的临床决策提供参考依据。方法便利抽样抽取2018年6月~2019年5月南华大学附属南华医院创伤骨科收治符合纳入标准的208例创伤性骨折手术患者,采用自制的一般资料调查问卷、事件影响量表-修订版(impact of event scale-revised,IES-R)、疼痛数字评分表(numerical rating scale,NRS)、Groningen骨科社会支持量表(groningen orthopaedic social support scale,GO-SSS)进行调查。结果208例创伤性骨折手术患者IES-R得分为(48.61±7.29)分,NRS平均得分为(6.16±0.70)分,GO-SSS得分为(26.49±2.37)分。单因素分析显示:患者文化程度、年龄、疼痛程度、社会支持水平对患者创伤性心理应激反应发生差异有统计学意义(P<0.05);logistic回归分析显示:患者文化程度、疼痛、社会支持水平是影响创伤性骨折手术患者创伤性心理应激反应的主要因素。结论创伤性骨折手术患者创伤性心理应激反应发生率较高,医护人员应根据影响创伤性骨折手术患者创伤性心理应激反应的主要因素制定有效的针对措施,鼓励患者早期进行康复训练,促进康复进程,特别关注文化程度低、疼痛剧烈与社会支持水平差患者,加强健康宣教和心理疏导,改变错误认知。
Objective To understand the effect of traumatic fracture surgery on traumatic stress response of patients,and to analyze its influencing factors.Methods From June 2018 to May 2019,208 patients undergoing surgery for traumatic fracture in our hospital were selected using convenient sampling method.A survey was conducted using self-designed demographic questionnaire,impact of event scale-revised(IES-R),numerial rating scale(NRS)and Gronningen orthopaedic social support scale(GO-SSS).Results The mean scores of IES-R,VAS and GO-SSS were 48.61±7.29,6.16±0.70 and 26.49±2.37,respectively.Single factor analysis showed that the traumatic psychological stress response varied significantly among patients with different education,age,pain and social support levels(P<0.05).Logistic regression analysis showed that education,pain and social support level were the major factors affecting the traumatic psychological stress response of patients with traumatic fracture surgery.Conclusions The incidence of traumatic stress response in patients with traumatic fracture surgery is relatively high.Health workers should propose effective measures based on the major factors affecting the traumatic stress response of patients to provide them with early rehabilitation training and promote rehabilitation process,especially for patients with low education level,severe pain and poor social support level.
作者
蒋佩佩
朱敏
JIANG Pei-pei;ZHU Min(South China Hospital Affiliated to University of South China,Hengyang,Hunan 421002,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
2020年第7期819-823,共5页
Chinese Preventive Medicine
关键词
创伤性骨折
手术
疼痛
心理应激反应
影响因素
Traumatic fracture
Surgery
Pain
Psychological stress response
Influencing factors
