家庭正向行为支持护理对机器人辅助骨盆前后柱手术骨盆骨折患者围手术期的影响

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中图分类号R473.6R683.3 文献标识码 A 文章编号2096-7721（2025）06-0954-05

Effect of family positive behavior support nursing on perioperative outcomes in pelvic fracture patients undergoing robot-assisted anterior-posterior column surgery

SHEN Jiajia， JIN Yanping， WANG Yehui， SUN Jinjing

（NursingDeparmet，thople’sspialAatedtoagiJTgUvesityholoficineangha）

AbstractObjective：Toinvestigatetheeffectsoffamilypositivebehaviorsupportnursingonpsychologicalstressandillness uncertaintyintraumaticpelvicfracturepatientsduringtheperioperativeperiodofobot-asistedanterior-posteriorcolumnsurgery. Methods：2O2trauaticpelvicfracturepatientshoweretreatedattheDepartmentofOrthopedics，thSithPeople’sHospitalAlated toShanghaiJiaoTongUniversityScholofMedicinefromJanuary2023toJauary2O24wereenolled.Usingtheimplemenationdateof familypositivehaviorsupportusing（July2）asteutof，99patintstreaedbeforeiplementation（Jauary2toJue2） wereassignedtoeotrolgoup（eevingroutienusing），ile3patintsratedempementatio（JulytoJaay4） wereassignedtothebsevationgrou（eceivingroutinenursingcombinedwithfamilyposivebehaviorsupportnursing）.Copingstyles， psychologicalsatussholalsdlsueateadeetofored9eei Results：After9daysofintervention，bothgroupsshowedreductions inMedicalCoping ModesQuestioaire （MCMQ）yieldavodance dimensionsos，tcklist9（9）eiotalo，trspoeQusiisitsds Uncertainty Scale dimension/total scores compared to those before intervention（ P <0.05），with lower scores in the observation group than the control group （P<0.05） .MCMQ confrontation dimension scores increased in both groups P <0.05），with higher scores in the observation group than the control group （ P<0.05） . Conclusion： Family positive behavior support nursing can effctively improve psychological status，alleviate stress，reduce illness uncertainty，and promote positive behaviors in traumatic pelvic fracture patients.

wordsFamilyPositiveehaviorSupport;Taumaticelvicracture;RobotasistedSurgery;PsychologicalStressIssUncert

骨盆骨折通常与其他危及生命的损伤同时发生，平均死亡率在 6%～35%[1] ，被视为复杂损伤，约占所有创伤性骨折的 5% ，而孤立性骨盆骨折约占骨盆骨折的 30%[2] 。（剩余8080字）