老年人下肢骨折术后的心理护理

论文编号:HL224 论文字数:8720,页数:21

论文题目：老年人下肢骨折术后的心理护理
摘　要
研究背景
 随着我国人口日趋老龄化，老年人的心理特征变化越来越明显。他们普遍注意身体锻炼和膳食营养，却忽略了心理健康，尤其是患有功能残疾，如骨折、截瘫等疾病，心理失衡更为突出。随着现代医学从生物医学模式向心理—社会—生物医学模式转变，护理模式也由功能型护理转为整体护理模式，心理护理越来越重要，护理工作者要做好老年人的心理护理，特别是老年下肢骨折患者的心理护理。
研究目的
 本文主要探讨老年人下肢骨折术后的心理状况和护理对策。
研究方法
 通过选取入院后24h内的100例老年下肢骨折患者，应用SCL-90心理健康症状自评量表对其进行测试。对获取的数据和资料进行处理、分析和总结，充分了解和认识了老年人下肢骨折术后心理症状的客观存在。
研究结果
 数据分析结果与国内常模比较，躯体化、人际关系敏感、抑郁、焦虑、恐怖均高于国内常模（P＜0.05），具有统计学意义。
结论
 老年人下肢骨折术后的心理症状有躯体化、人际关系敏感、抑郁、焦虑、恐怖，对此护理人员要进行有效沟通，进行及时、准确的评估，针对原因，给予相应的护理对策。
 
 
关键词：老年人，下肢骨折，心理护理
论文类型：理论研究

 Title: Psychological care of elderly patients with lower limb fracture after surgery
ABSTRACT
Background
 As China''''s increasingly aging population, the elderly, changes in psychological characteristics become increasingly evident. They generally pay attention to physical exercise and diet nutrition, but this misses the mental health, especially those who suffer from functional disabilities, such as fractures, paraplegia and other diseases, mental imbalance is even more prominent. With modern medicine from the biomedical model to the psychological - social - changes in bio-medical model, nursing model from the functional to holistic nursing model of care, psychological care and more and more important, health care workers to do the psychological care of older persons, especially among older patients with lower extremity fractures psychological care.
Objectives
 This paper examines the elderly''''s mental state after lower limb fracture and nursing responses.
Methods
 By choosing, within 24h after admission of 100 cases of elderly patients with lower extremity fractures, the application of mental health symptoms SCL-90 self-rating scale for testing. On access to data and data processing, analysis and summary, the full understanding and knowledge of the elderly lower extremity fractures of the objective existence of psychological symptoms after surgery.
Results
 The results compared with the national norm, somatization, interpersonal sensitivity, depression, anxiety, terror is higher than the national norm (P＜0.05), with statistical significance.
Conclusion
 The elderly lower limb fracture surgery psychological symptoms of somatization, interpersonal sensitivity, depression, anxiety, terror, this nursing staff to conduct effective communication, timely and accurate assessment, for the reasons given appropriate care measures.

KEYWORDS: elderly；lower limb fracture；psychological care
TYPEOFTHESIS: Theoretical Study

 
目  录
1绪论 1
1.1背景及意义 1
1.2研究目的及目标 1
1.3关键词及定义 2
1.4文献回顾 2
2研究设计 4
2.1研究对象 4
2.2研究方法 4
2.3研究步骤 4
3研究结果 5
3.1结果分析 5
4讨论 6
4.1老年人下肢骨折术后躯体化心理及护理对策 6
4.2老年人下肢骨折术后人际关系敏感心理及护理对策 6
4.3老年人下肢骨折术后焦虑、抑郁心理及护理对策 7
4.4老年人下肢骨折术后恐怖心理及护理对策 7
4.5个体化的护理对策 8
5推论 10
5.1推论 10
5.2不足之处 10
致    谢 11
参考文献 12
附录 13
附录1 13