广州医药 ›› 2024, Vol. 55 ›› Issue (12): 1495-1499.DOI: 10.20223/j.cnki.1000-8535.2024.12.017

• 护理研究 • 上一篇    下一篇

基于叙事护理理论的心理干预在突发创伤下肢骨折患者中的应用研究

王华, 郭利利, 陈曦, 田黎明, 程梦慧   

  1. 南方医科大学深圳医院骨科(广东深圳 523000)
  • 收稿日期:2024-03-22 出版日期:2024-12-20 发布日期:2025-01-08
  • 基金资助:
    深圳市宝安区医疗卫生科研项目(2022JD044)

Application of psychological intervention based on narrative nursing theory in patients with sudden traumatic lower extremity fracture

WANG Hua, GUO Lili, CHEN Xi, TIAN Liming, CHENG Menghui   

  1. Department of Orthopedics, Shenzhen Hospital, Southern Medical University, Shenzhen 523000, China
  • Received:2024-03-22 Online:2024-12-20 Published:2025-01-08

摘要: 目的 分析基于叙事护理理论的心理干预在突发创伤下肢骨折患者中的应用价值。方法 选择南方医科大学深圳医院2023年4月—2023年10月收治的100例突发创伤下肢骨折患者,根据随机数字表法将患者分为研究组和对照组,各50例。对照组提供常规心理护理和健康教育,研究组在对照组的基础上增加基于叙事护理理论的心理干预。对比两情绪压力量表和创伤后成长情况、康复依从性。结果 研究组的情绪压力评分维度中抑郁和焦虑及压力评分明显低于对照组(P<0.05);研究组的创伤相关评分维度中与他人的关系、新的可能性和个人力量、生活的欣赏和精神变化评分高于对照组,康复依从性高于对照组(P<0.05)。结论 基于叙事护理理论的心理干预,可缓解突发创伤下肢骨折患者的心理压力,提高康复依从性,促进早日康复。

关键词: 叙事护理, 心理干预, 突发创伤下肢骨折, 疼痛评分

Abstract: Objective To analyze the application value of psychological intervention based on narrative nursing theory in patients with sudden traumatic lower extremity fracture.Methods A total of 100 patients with sudden traumatic lower extremity fracture admitted to Shenzhen Hospital of Southern Medical University from April 2023 to October 2023 were selected and divided into study group and control group with 50 cases in each group by random number table method.The control group received routine psychological nursing and health education,and the study group was added psychological intervention based on narrative nursing theory.The two emotional stress scales were compared with post-traumatic growth and rehabilitation compliance.Results The scores of depression,anxiety and stress in the study group were significantly lower than those in the control group(P<0.05).The trauma-related scores of the study group were significantly higher than those of the control group in relation to others,new possibilities and personal strength,appreciation of life and spiritual changes,and the rehabilitation compliance was significantly higher than that of the control group(P<0.05).Conclusions Psychological intervention based on narrative nursing theory can relieve psychological pressure of patients with sudden traumatic lower extremity fracture,improve rehabilitation compliance,and promote early recovery.

Key words: narrative nursing, psychological intervention, sudden traumatic fracture of lower extremity fracture, pain score