摘要

【摘要】
目的 分析快乐感知训练护理模式对急性髋部骨折后焦虑患者睡眠质量的影响。

方法 纳入并观察2021年6月到2024年6月在我院接受诊治的急性髋部骨折后焦虑患者共计120例，按随机数表法设为观察组（快乐感知训练护理模式联合常规护理干预，60例）、对照组（常规护理干预，60例）。记录两组汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）评分、心理弹性量表（Connor-David-son Resilience Scale，CD-RISC）评分、匹兹堡睡眠质量指数量表（Pittsburgh sleep quality index，PSQI）评分和生活质量综合评定问卷-74（Comprehensive quality of life assessment questionnaire-74，GQOLI-74）评分。

结果 相较于干预前，干预后两组HAMA评分均减少，CD-RISC评分升高，且观察组HAMA评分数据更低，CD-RISC评分数据更高（P＜0.05）；相较于干预前，干预后两组PSQI评分均减少，且观察组评分数据更低（P＜0.05）；相较于干预前，干预后两组GQOLI-74量表中心理健康、社会功能、躯体健康评分均升高，且观察组评分数据更高（P＜0.05）。

结论 快乐感知训练护理模式能有效缓解急性髋部骨折后焦虑患者焦虑程度，调节心理弹性水平及睡眠质量，提高患者生活质量。

关键词：【关键词】髋部骨折；焦虑；快乐感知训练护理模式；睡眠质量

ABSTRACT

【Abstract】
Objective To analyze the effect of happiness perception training nursing mode on sleep quality of patients with anxiety after acute hip fracture.

Methods A total of 120 patients with anxiety after acute hip fracture treated in our hospital from June 2021 to June 2024 were included and observed. They were divided into observation group (happiness perception training nursing mode combined with routine nursing intervention, 60 cases) and control group (routine nursing intervention, 60 cases) according to random number table method. Hamilton anxiety scale (HAMA) score, Connor-David-son Resilience Scale (CD-RISC) score, Pittsburgh sleep quality index (PSQI) score and Comprehensive quality of life assessment questionnaire-74 (GQOLI-74) score were recorded for the two groups.

Results Compared with before intervention, HAMA score of the two groups decreased and CD-RISC score increased after intervention, and HAMA score of the observation group was lower and CD-RISC score was higher (P<0.05). Compared with before intervention, PSQI scores of both groups decreased after intervention, and the score data of observation group was lower (P<0.05). Compared with before intervention, the scores of mental health, social function and physical health in the GQOLI-74 scale of the two groups were all increased after intervention, and the score data of the observation group was higher (P<0.05).

Conclusion   Happiness perception training nursing model can effectively alleviate the anxiety level of patients with acute hip fracture anxiety, adjust the level of mental resilience and sleep quality, and improve the quality of life of patients.

Key words: 【Key words】Acute trauma fracture; Anxiety; Happiness perception training nursing model; Sleep quality