Application effect of positive psychological nursing in patients with amputated limb replantation
积极心理护理在断肢再植患者中的应用成效观察

摘要

目的 探讨为断肢再植患者实施积极心理护理的应用成效。方法 选择我院2019年4月至2022年4月收治的断肢再植患者40例为研究对象，按照入院顺序随机分为两组（20例/组）。对照组给予常规护理，研究组在常规护理基础上实施专业的积极心理护理。比较两组患者护理前后心理状态[抑郁（SDS）评分、焦虑（SAS）评分]、睡眠质量（PSQI）评分、生活质量（SF-36）评分、并发症发生情况以及护理满意度。结果 与护理前比较，护理后两组抑郁（SDS）评分、焦虑（SAS）评分、睡眠质量（PSQI）评分降低，生活质量（SF-36）评分升高，且研究组抑郁（SDS）评分、焦虑（SAS）评分、睡眠质量（PSQI）评分更低，生活质量（SF-36）评分更高（P＜0.05）。研究组并发症发生率更低，护理满意度更高（P＜0.05）。结论 积极心理护理在断肢再植患者中有良好应用效果，可明显减轻患者负面情绪、提高其睡眠质量和生活质量，降低并发症发生风险，患者满意度较高，值得临床借鉴并推广应用。

Abstract

Objective: To explore the application effect of positive psychological nursing for patients with amputated limb replantation.
Methods: Forty patients with limb replantation admitted to our hospital from April 2019 to April 2022 were selected as the research objects and randomly divided into two groups according to the order of admission (20 cases/group). The control group received routine nursing, while the study group received professional positive psychological nursing on the basis of routine nursing. The psychological status [depression (SDS) score, anxiety (SAS) score], sleep quality (PSQI) score, quality of life (SF-36) score, complications and nursing satisfaction were compared between the two groups before and after nursing.
Results: Compared with before nursing, the depression (SDS) score, anxiety (SAS) score and sleep quality (PSQI) score of the two groups were decreased after nursing, and the quality of life (SF-36) score was increased, and the depression (SDS) score, anxiety (SAS) score and sleep quality (PSQI) score of the study group were lower. The quality of life (SF-36) score was higher (P < 0.05). In the study group, the incidence of complications was lower and the nursing satisfaction was higher (P < 0.05).
Conclusion  s: Positive psychological nursing has a good application effect in patients with limb replantation, which can significantly reduce patients' negative emotions, improve their sleep quality and quality of life, reduce the risk of complications, and patients' satisfaction is high, which is worthy of clinical reference and promotion.