冰山理论下的心身干预对老年股骨颈骨折患者心理和睡眠的影响

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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

中图分类号：R338.63；R473.6 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.04.059

中国的老龄人口比例越来越高，髋部发生骨折的老年人显著增加，其中有近一半为股骨颈骨折，此类患者常行髋关节置换手术，围术期并发症较多，术后早期功能锻炼疼痛明显[1]；出院后康复期的跌倒恐惧也困扰着他们，以上因素易引起严重的睡眠障碍，对远期康复造成负面影响[2]

冰山理论认为，人们所能看到的情况只占事物全部内容的很小一部分，大部分事实真相就像漂浮在水面上冰山的水下部分那样多。（剩余6434字）