冰山理論下的心身干預(yù)對(duì)老年股骨頸骨折患者心理和睡眠的影響

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AbstractObjective：To explore the influence of psychosomaticnursing interventionundertheIceberg Theoryonthe psychological stateand sleepqualityof elderlypatientsafterfemoralneck fracturesurgery.Methods：Atotalof92elderlypatients whounderwentsurgeryforfemoralneck fracturescausedbyexternalforcesintheJointSurgeryDepartmentof Zichuan Hospitalwereenroledasthestudysubjectsandrandomlydividedintoacontrolgroupandanobservationgroupbyrandomnumbertable，with 46 casesineach group.Thecontrolgroupreceivedroutine nursingcare，whiletheobservationgroupreceived psychosomatic interventionnursingcarebasedontheicebergtheoryinadition toroutinecare.Diferences inperioperativesleepquality，painseverity， psychologicalstate，mobilityofhipjoints，andcomplicationsofthepatients btwn the twogroups wereobserved.Results：The observation group had lower PSQI，NRS，and mental health scores（ P<0.05 ）and better hip mobility and fewer postoperative complications （ P<0.05 ） than the control group during the perioperative period. Conclusion：Iceberg theory-based psychosomatic interventions haveapositiveefectonthe postoperative psychologicalandsleepstatusandtreatment efectof elderlypatients with femoral neck fractures.

KeywordsIceberg theory；Psychosomatic intervention;Nursing intervention;Oldage;Femoralneck fracture;Pain;Psycholog ical state; Sleep quality

中圖分類號(hào)：R338.63；R473.6 文獻(xiàn)標(biāo)識(shí)碼：A doi：10.3969/j.issn.2095-7130.2025.04.059

中國(guó)的老齡人口比例越來越高，髖部發(fā)生骨折的老年人顯著增加，其中有近一半為股骨頸骨折，此類患者常行髖關(guān)節(jié)置換手術(shù)，圍術(shù)期并發(fā)癥較多，術(shù)后早期功能鍛煉疼痛明顯[1]；出院后康復(fù)期的跌倒恐懼也困擾著他們，以上因素易引起嚴(yán)重的睡眠障礙，對(duì)遠(yuǎn)期康復(fù)造成負(fù)面影響[2]

冰山理論認(rèn)為，人們所能看到的情況只占事物全部?jī)?nèi)容的很小一部分，大部分事實(shí)真相就像漂浮在水面上冰山的水下部分那樣多。（剩余6434字）