创伤骨科手术患者抑郁情绪的影响因素分析

目的：探讨创伤骨科手术患者抑郁情绪影响因素及护理对策。方法选择2012年1月-2013年1月治疗的创伤骨科患者210例，对其进行抑郁自评量表（SDS）、社会支持评定量表（SSRS）和一般资料调查分析。结果190例患者中，未发现抑郁情绪患者83例（43．68％），轻度抑郁58例（30.53％），中度抑郁29例（15．26％），重度抑郁20例（10．53％）。自费、担心预后不良、担心诊疗水平、不符合诊断结果、不了解治疗方案是创伤骨科手术患者产生抑郁情绪的危险因素；自理程度强、主客观社会支持、社会支持利用度高是影响患者抑郁的保护因素。结论创伤骨科手术患者抑郁发病率较高，但通过医护人员的精心护理，家属亲人的支持鼓励，朋友的亲切关心，社会大家庭的互亲互爱，可以帮助患者摆脱骨科手术的抑郁情绪。

Influencing factors of depression in patients with orthopedic trauma surgery

Objective To investigate the factors affecting the depression of patients with orthopedic trauma surgery and nursing countermeasures .Methods A total of 210 patients were chosen in our hospital from January 2012 to January 2013.The Self-rating Depression Scale （SDS）, Social Support Rating Scale （SSRS） and general information questionnaires were used in the survey .Results A total of 190 cases of patients finished the investigation.83 patients （43.68%） did not had depression, 58 patients （30.53%） had mild depression, 29 patients （15.26%） had moderate depression, 20 （10.53%） patients had severe depression .The reason for depression in patients with univariate and multivariate Logistic regression analysis showed that self -financed medical care , diagnosis and treatment of worry , fear poor prognosis , bad attitude and other aspects of health care were the main factors in patients with depression , but a high degree of social support in patients with depression was the protective factors .Conclusions The incidence of depression in patients with orthopedic surgery was high.But intensive care from the medical staff , support from their families and intimate care from friends can help patients get rid of depression after orthopedic surgery .