Investigation on traumatic psychological stress reaction of patients undergoing traumatic fracture surgery
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Luping Liu, Xingxiong Jiang, Minglin Dong, Xiang Guo, Jingwu Liao
Objective: To explore the influence of psychological counseling based on psychological assessment scale on patients' stress state and bad psychology in emergency operation of traumatic fracture. Methods: Hamilton Depression Scale (HAMA) and Self-rating Depression Scale (SDS) were used to evaluate the anxiety and depression of 65 patients with traumatic fracture. Patients in the routine group received routine nursing, closely monitored the vital signs of patients, established venous channels, assisted patients in improving related auxiliary examinations, and gave relevant nursing interventions according to doctor's advice. Patients in the intervention group were given psychological counseling based on psychological assessment scale on the basis of routine nursing. Results: There was no significant difference in HAMA and SDS scores between the two groups at admission (P > 0.05). When entering the operating room, the scores of HAMA and SDS in the intervention group were lower than those in the routine group, and the difference was statistically significant (P < 0.05). The resilience of patients with traumatic fracture is at a medium level, and the total score of resilience is (51.20 ±13.96), which is lower than the domestic norm (t =-20.217, P < 0.01). Conclusion: Psychological counseling evaluated by psychological scale can reduce the patients' bad mood and stress state before operation.
Traumatic fracture patients; Psychological stress reaction; Acute stress disorder