心理護理在斷指再植患者中的應用效果

趙曉翠

【摘 要】目的 探討心理護理在斷指再植患者中的應用價值。方法 選取我院骨科八病區2019年1月-2021年4月收治的92例斷指再植患者為研究對象，按照隨機數字表法分為A、B兩組，每組46例。A組予以常規護理，B組予以心理護理，比較兩組疼痛度、心理狀態、生活質量與手功能優良率。結果 B組護理后VAS評分低于A組（P<0.05）；B組護理后SAS、SDS評分低于A組（P<0.05）；B組護理后各維度生活質量評分均高于A組（P<0.05）；B組手功能優良率為95.65%，高于A組的78.26%（P<0.05）。結論 心理護理在斷指再植患者護理中的應用價值較高，能有效緩解患者疼痛度與負性情緒，促進患者手功能恢復與生活質量提高，值得臨床應用。

【關鍵詞】心理護理；斷指再植；負性情緒；生活質量；手功能

中圖分類號：R473.6 文獻標識碼：A 文章編號：1004-4949（2023）04-0124-03

Application effect of psychological nursing in patients with Replantation of Amputated Finger

ZHAO Xiao-cui

（The Eighth Ward of Orthopedics Department， North China Medical and Health Group Xingtai General Hospital， Xingtai 054000， Hebei， China）

【Abstract】Objective To explore the application value of psychological nursing in patients with replantation of amputated finger. Methods A total of 92 patients with replantation of amputated finger admitted to our hospital from January 2019 to April 2021 were selected as the research objects. They were divided into group A and group B according to the random number table method， with 46 cases in each group. Group A was given routine nursing， and group B was given psychological nursing. The pain degree， psychological state， quality of life and excellent rate of hand function were compared between the two groups. Results The VAS score of group B was lower than that of group A （P<0.05）. The scores of SAS and SDS in group B were lower than those in group A（P<0.05）. The scores of quality of life in each dimension after nursing in group B were higher than those in group A （P<0.05）. The excellent and good rate of hand function in group B was 95.65%， which was higher than 78.26% in group A （P<0.05）. Conclusion Psychological nursing has a high application value in the nursing of patients with replantation of amputated finger， which can effectively alleviate the pain and negative emotions of patients， promote the recovery of hand function， improve the quality of life of patients， and is worthy of clinical application.

【Key words】Psychological nursing； Replantation of amputated finger； Negative emotions； Quality of life； Hand function

斷指現象多源于突發事件，患者多未做好應對的心理準備，加上擔心手術失敗影響自身的工作生活以及家庭等，易產生較多不良情緒，如焦慮、抑郁等[1]。焦慮、抑郁等不良情緒會降低患者的治療依從性。因此，實施心理護理干預緩解斷指再植術患者不穩定的情緒具有重要意義，可幫助其以平和的心態應對治療過程，以免不良情緒影響最終的療效[2]。基于此，本研究旨在探討心理護理在斷指再植患者中的應用價值，現報道如下。

1.1 一般資料 選取華北醫療健康集團邢臺總醫院骨科八病區收治的92例斷指再植患者為研究對象。納入標準：臨床資料完整。排除標準：機體內臟器功能存在障礙或者精神疾病患者。按照隨機數字表法將其分為A組和B組，每組46例。……