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目的分析针对性术前访视对老年股骨粗隆间骨折手术焦虑情绪及术后恢复的影响。方法对该院2013年7月—2015年5月住院行股骨粗隆间骨折手术的高龄患者64例,随机分为观察组和对照组,每组32例,对照组给予常规术前宣教,观察组给予针对性术前访视,比较二组患者术前生理指标(血压、脉搏)、SAS评分及护理满意度。结果观察组患者术前30min收缩压、舒张压及脉搏要显著低于对照组(t=5.17,t=6.29,t=7.38,P<0.05);SAS评分观察组中有71.88%正常,9.38%轻度焦虑,焦虑状况显著好于对照组(χ2=6.38,P<0.05);观察组患者总体满意度为84.38%,显著好于对照组51.13%(χ2=5.51,P<0.05)。结论对老年股骨粗隆间骨折患者术前进行针对性访视不仅能够使患者对手术有一个良好的认识,缓解术前焦虑,也为术后积极配合治疗奠定了良好的基础。
Objective To analyze the effect of targeted preoperative visit on anxiety and postoperative recovery of elderly intertrochanteric fractures. Methods A total of 64 elderly patients with intertrochanteric fractures admitted from July 2013 to May 2015 in our hospital were randomly divided into observation group and control group, 32 cases in each group. The control group was given routine preoperative mission and observation Group were given targeted preoperative visit, compared the two groups of patients before the physiological indicators (blood pressure, pulse), SAS score and nursing satisfaction. Results The systolic blood pressure, diastolic blood pressure and pulse at 30 min before operation in observation group were significantly lower than those in control group (t = 5.17, t = 6.29, t = 7.38, P <0.05); SAS score was 71.88% Mild anxiety and anxiety were significantly better than those in the control group (χ2 = 6.38, P <0.05). The overall satisfaction of the observation group was 84.38%, significantly higher than 51.13% of the control group (χ2 = 5.51, P <0.05). Conclusion The targeted preoperative visit to elderly patients with intertrochanteric fractures not only can make the patients have a good understanding of surgery, relieve preoperative anxiety, but also lay a good foundation for the active cooperation after treatment.