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目的探究中医情志护理联合快速康复外科对多发性肋骨骨折患者术后康复及负性情绪的影响。方法选择某院2015-02—2017-02多发性肋骨骨折手术患者94例,依据抽签法分组,各47例。对照组予以常规护理,观察组以中医情志护理联合快速康复外科施行干预。对比两组术后肛门排气时间、拔除胸管时间及住院时间,并比较两组干预前后抑郁评分(HAMD)、焦虑评分(HAMA)。结果与对照组相比,观察组术后肛门排气时间、拔除胸管时间及住院时间均缩短,差异有统计学意义(P<0.05);干预前两组HAMD与HAMA评分差异无统计学意义(P>0.05),干预后观察组HAMD与HAMA评分分别为(11.20±3.16)分、(11.86±3.50)分,均低于对照组的(17.81±4.05)分、(17.14±3.73)分,差异有统计学意义(P<0.05)。结论以中医情志护理联合快速康复外科干预多发性肋骨骨折手术患者,可明显促进患者术后康复,缓解其抑郁、焦虑等负性情绪。
Objective To investigate the effect of traditional Chinese medicine nursing combined with rapid rehabilitation surgery on postoperative rehabilitation and negative emotion in patients with multiple rib fractures. Methods Select a hospital 2015-02-2017-02 Multiple rib fractures in patients with 94 cases, grouped according to the lottery method, 47 cases each. The control group was given routine care, and the observation group was treated with Chinese emotional nursing combined with rapid rehabilitation surgery. The anal exhaust time, chest tube removal time and hospital stay were compared between the two groups. HAMD and HAMA were compared between the two groups. Results Compared with the control group, the anal exhaust time, chest tube removal time and hospital stay in the observation group were shorter than those in the control group (P <0.05). There was no significant difference in HAMD and HAMA scores between the two groups (P> 0.05). After intervention, the scores of HAMD and HAMA in the observation group were (11.20 ± 3.16) and (11.86 ± 3.50) points lower than the control group (17.81 ± 4.05) and (17.14 ± 3.73) points respectively, The difference was statistically significant (P <0.05). Conclusion Combined Chinese emotional nursing and rapid rehabilitation of surgical patients with multiple fractures of the ribs can significantly promote postoperative recovery and relieve the negative emotions such as depression and anxiety.