Effect of individualized nursing intervention on negative emotion, fracture healing time and survival statusof patients with severe femoral shaft fracture after operation
个体化护理干预对重症股骨干骨折术后患者负性情绪、骨折愈合时间及生存状态的影响

摘要

目的 探讨个体化护理干预对重症股骨干骨折术后患者负性情绪、骨折愈合时间及生存状态的影响。方法 选取2020年7月至2021年7月在我院实施重症股骨干骨折手术的股骨干骨折患者78例作为本次研究对象，按照单偶数数字法分为观察组和对照组，各有39例。本次研究中对照组使用的是常规护理，观察组使用的是个体化护理，比较2组患者治疗后的骨折愈合的时间还有到出院时的住院时间、负性情绪以及生存质量评分。 结果 对比对照组观察组的骨折愈合时间和住院时间更短；在负性情绪比较中，观察组的SAS、SDS评分明显低于对照组；在生存质量评分中，观察组在心理领域、生理领域、环境领域、社会领域中的评分均高于对照组。对比差异具有统计学意义（P<0.05）。结论 重症股骨干骨折术后对患者实施个体化护理影响较大，可以改善患者的情绪，患者的骨折可以加速愈合，缩短住院时间，提高患者的生存状态，值得临床应用。

Abstract

Objective To investigate the effects of individualized nursing intervention on negative emotions, fracture healing time and survival status of patients with severe femoral shaft fracture after surgery.
Methods A total of 78 patients with femoral shaft fracture who underwent severe femoral shaft fracture operation in our hospital from July 2020 to July 2021 were selected as subjects of this study, and were divided into observation group and control group according to single and even number method, with 39 cases in each group. In this study, conventional care was used in the control group and individualized care was used in the observation group. Time to fracture healing after treatment, length of stay to discharge, negative emotion and quality of life scores were compared between the two groups.
Results Compared with the control group, the fracture healing time and hospital stay in the observation group were shorter. In the comparison of negative emotions, the SAS and SDS scores of the observation group were significantly lower than those of the control group. In the quality of life score, the observation group in the psychological field, physiological field, environmental field, social field scores are higher than the control group. The comparison difference was statistically significant (P<0.05).
Conclusion   The individualized nursing for patients with severe femoral shaft fracture after operation has a great impact on patients, can improve the mood of patients, patients with fracture can accelerate healing, shorten the length of hospital stay, improve the survival state of patients, worthy of clinical application.