Objective  To investigate the effect of Morita therapy combined with Orem self-care intervention on prognosis of acute traumatic fracture patients with depression.

  Methods  Totally 86 acute traumatic fracture patients with depression were selected and randomly divided into control group (routine nursing intervention) and observation group (Morita therapy combined with Orem self-care intervention) according to admission order, with 43 cases in each group. Hamilton Depression Scale (HAMD) was used to evaluate depression in both groups. Generic Quality of Life Inventor-74 (GQOLI-74) was used to assess quality of life in both groups. The awareness rate of health knowledge, nursing satisfaction degree and incidence of complications were compared between the two groups.

  Results  After intervention, the HAMD scores in both groups were significantly lower than those before treatment, and the HAMD score of the observation group was significantly lower than that of the control group (P < 0.05). After intervention, the awareness rate of health knowledge and nursing satisfaction score of the observation group were significantly higher than those of the control group (P < 0.05). After intervention, the scores of physical function, psychological function, social function and material function in both groups were significantly higher than those before intervention, and the scores of physical function and psychological function in the observation group were significantly higher than those in the control group (P < 0.05). The incidence rate of complications in the observation group was significantly lower than that in the control group (P < 0.05).

  Conclusion  For acute traumatic fracture patients with depression, the Morita therapy combined with Orem self-care intervention can alleviate depression, improve prognosis and quality of life, and improve self-care ability.