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目的探讨手术室舒适护理模式缓解老年股骨头置换术后负面情绪的效果。方法选取2016年5月—12月收治的股骨头置换术的老年患者66例,根据随机数表法分为观察组和对照组,各33例。对照组给予手术室常规护理模式,观察组给予手术室舒适护理模式。采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评表(self-rating depression scale,SDS)对患者的负性情绪进行评分。观察并记录麻醉前10 min和清醒后心率波动变化。计量资料比较采用t检验,P<0.05为差异有统计学意义。结果术前观察组SAS、SDS评分[(50.23±3.56)、(54.25±4.14)分]与对照组[(51.87±4.77)、(55.27±4.25)分]相比,差异无统计学意义(均P>0.05);术后观察组SAS、SDS评分[(31.32±5.41)、(36.42±3.21)分]均低于对照组[(38.21±6.02)、(41.56±3.91)分],差异有统计学意义(均P<0.05);观察组麻醉前10 min、清醒后心率波动值[(18.21±4.21)、(8.46±2.13)次/min]均低于对照组[(26.33±7.25)、(12.46±4.97)次/min],差异有统计学意义(均P<0.05)。结论老年股骨头置换术中采用舒适护理模式可以有效缓解术后焦虑、抑郁的负面情绪,降低患者麻醉前后心率波动变化。
Objective To investigate the effect of operating room comfort mode on alleviating the negative emotions after the replacement of the elderly patients with femoral head replacement. Methods Sixty-six elderly patients with femoral head replacement were selected from May to December in 2016. The patients were divided into observation group and control group according to the random number table method, with 33 cases in each group. The control group was given routine nursing mode in the operating room, and the observation group was given comfortable nursing mode in the operating room. The negative emotions of patients were scored by self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Observed and recorded 10 min before anesthesia and awake heart rate fluctuations. Measurement data were compared using t test, P <0.05 for the difference was statistically significant. Results Compared with the control group [(51.87 ± 4.77), (55.27 ± 4.25) points], there was no significant difference in the scores of SAS and SDS in the preoperative observation group [(50.23 ± 3.56) and (54.25 ± 4.14) (31.32 ± 5.41) and (36.42 ± 3.21) points in observation group were lower than those in control group [(38.21 ± 6.02) and (41.56 ± 3.91) points respectively], and the difference was statistically significant (18.21 ± 4.21) and (8.46 ± 2.13) / min, respectively, compared with those in the control group [(26.33 ± 7.25) and 12.46 ± 4.97) times / min, the difference was statistically significant (all P <0.05). Conclusions The comfortable nursing model can effectively relieve postoperative anxiety and depression negative emotions and reduce the fluctuation of heart rate before and after anesthesia in elderly patients with femoral head replacement.