陪伴参与护理工作对空巢老人髋关节置换术后心理焦虑抑郁的效果

李凉英; 袁春敏; 王慧玲; 刘佳; 周贵

陪伴参与护理工作对空巢老人髋关节置换术后心理焦虑抑郁的效果

1. 成都市第五人民医院骨科
2. 成都市第五人民医院感染管理科

基金项目:

基金：四川省教育厅基层卫生事业发展研究中心科研基金资助项目 (SWFZ15-Y-19); 四川教育厅医院管理和发展研究中心科研基金资助项目 (SCYG2017-04);

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出版历程
- 收稿日期: 2018-06-10

A study on Accompany Care Work Effects on Mental Anxiety and Depression of Empty-nest Elderly after Hip Replacement

Funds:

基金：四川省教育厅基层卫生事业发展研究中心科研基金资助项目 (SWFZ15-Y-19); 四川教育厅医院管理和发展研究中心科研基金资助项目 (SCYG2017-04);

摘要

摘要: 目的了解陪伴参与护理工作对髋关节置换空巢老人心理焦虑及抑郁改善效果, 以及空巢老人髋关节置换术后心理焦虑及抑郁的影响因素, 探索空巢老人髋关节置换术后全方位护理策略.方法采用SAS、SDS评分表并结合自制问卷量表, 在2015年11月至2017年10月期间对行髋关节置换术的空巢老人进行问卷调查, 根据分组采用不同的护理方式进行护理, 同时进行焦虑与抑郁的影响因素分析.结果陪伴参与护理工作模式实验组与传统模式对照组空巢老人人口学特征差异无统计学意义 (χ2<3.84, P>0.05) , 在入院时心理焦虑 (t=1.2037, P=0.2308) 及抑郁 (t=1.0094, P=0.3142) 状况差异无统计学意义.心理焦虑在出院时 (t=-5.0159, P≤0.001) 、出院后1月 (t=-9.5160, P<0.001) 差异有统计学意义, 心理抑郁在出院时 (t=-2.9271, P=0.0039) 、出院后1月 (t=-8.2383, P<0.001) 差异有统计学意义, 空巢老人行髋关节置换后心理焦虑的影响因素为护理模式、慢性病种类、术后并发症等, 心理抑郁的影响因素为经济收入、护理模式、慢性病种类等.结论陪伴参与护理工作的模式可以改善髋关节置换空巢老人心理焦虑及抑郁状况, 患者术后的焦虑与护理模式、慢性病种类、术后并发症等相关, 患者抑郁状况与经济收入、护理模式、慢性病种类等有关.
- 陪伴 /
- 空巢老人 /
- 髋关节置换 /
- 焦虑及抑郁
Abstract: Objective To learn the effects on improving mental anxiety and depression in empty-nest elderly with hip replacement by accompany care work, and the factors influencing psychological anxiety and depression after hip replacement in empty-nest eldly. Then to explore comprehensive nursing strategies for hip arthroplasty in empty-nest eldly. Methods We investigated empty-nest elderly with hip arthroplasty by using homemade questionnaire, SAS and SDS scale between november 2015 and october 2017. Different nursing methods were used to treat empty-nesters in different groups, and the influencing factors of anxiety and depression were analyzed.Results It is not statistically significant in demographic characteristics (χ2<3.84, P>0.05) and anxiety (t = 1.2037, P=0.2308) and depression (t =1.0094, P=0.3142) at the time of entering the hospital, etc. Patients anxiety is statistically significant at time of discharge (t =-5.0159, P≤0.001) and one month after discharge (t =-9.5160, P < 0.001) , Patients depression is statistically significant at time of discharge (t =-2.9271, P = 0.0039) and one month after discharge (t =-8.2383, P<0.001) .The factors causing anxiety is nursing mode, number of chronic diseases and postoperative complications. The factors causing depression are economic income, nursing mode, and number of chronic diseases.Conclusion Accompany care work can improve the problems of anxiety and depression in an empty-nest eldly man after hip replacement. It is related to anxiety in nursing patterns, chronic diseases, postoperative complications.Meanhiwle while depression is related to economic income, nursing patterns, and types of chronic diseases, etc.
- Accompany /
- Empty-nest elderly /
- THA /
- Anxiety and depression

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