CAJ | 학술논문

目的探讨心理干预对股骨髁上骨折功能康复的作用.方法根据AO标准诊断的C型骨折患者,据患者骨折病情、性别、年龄、文化程度均衡匹配原则人选干预组和对照组,两组分别完成42例.对照组进行常规治疗和骨折功能康复指导,干预组除常规治疗和康复指导外,于术后第3天,第2,3,4周进行4次心理综合干预.在术前和术后6个月使用抑郁自评量表(SDS)和焦虑自评量表(SAS)评定两组患者的情绪.结果干预前两组焦虑、抑郁评分差异无显著性(P>0.05),术后6个月,干预组与对照组焦虑评分[(41.6±9.4)分,(48.7±8.5)分],抑郁评分[(40.6±7.6)分,(47.4±9.2)分]比较,差异有显著性(P<0.01);膝关节功能恢复情况等级比例,经秩和检验,差异有显著性(u=-2.0591,P<0.05).结论心理综合干预能有效促使股骨髁上骨折患者功能康复,对合并焦虑、抑郁等负性绪的改善,效果显著.
목적 탐토심리간예대고골과상골절공능강복적작용.방법 근거AO표준진단적C형골절환자,거환자골절병정、성별、년령、문화정도균형필배원칙인선간예조화대조조,량조분별완성42례.대조조진행상규치료화골절공능강복지도,간예조제상규치료화강복지도외,우술후제3천,제2,3,4주진행4차심리종합간예.재술전화술후6개월사용억욱자평량표(SDS)화초필자평량표(SAS)평정량조환자적정서.결과 간예전량조초필、억욱평분차이무현저성(P>0.05),술후6개월,간예조여대조조초필평분[(41.6±9.4)분,(48.7±8.5)분],억욱평분[(40.6±7.6)분,(47.4±9.2)분]비교,차이유현저성(P<0.01);슬관절공능회복정황등급비례,경질화검험,차이유현저성(u=-2.0591,P<0.05).결론 심리종합간예능유효촉사고골과상골절환자공능강복,대합병초필、억욱등부성서적개선,효과현저.
Objective Effect of psychological intervention on functional rehabilitation of femoral supracondylar fractures.Methods 84 type C fracture patients according to AO criteria for the diagnosis were collected,and randomly divided into intervention group(n=42)and control group(n=42)according to patient sex,age,fracture condition,cultural degree balanced matching principle.The control group was given conventional treatment and fracture features of health guidance,the intervention group in addition to conventional treatment and rehabilitation guidance.Comprehensive mental intervention applied 4 times on postoperative 3 days,the 2nd,3rd,4th week.Self-anxiety scale and self-depression scale were used before operation and 6th month after operation.Results The anxiety and depression scores in two groups before intervention showed no significant difference P>0.05).6 months after the operation,the anxiety score(41.6±9.4 vs 48.7±8.5)and depression score(40.6±7.6 vs 47.4±9.2)in intervention group apparently decreased than that in control group(P<0.01).Function restoration of knee joint in different effect showed better than control group(u=-2.0591,P<0.05).Conclusion Psychological intervention can effectively promote the functional recovery of patients with femoral supracondylar fractures and promote anxiety and depression mood.