CAJ | 학술논문

目的：探讨心理干预对老年下肢骨折患者心理状态的干预效果。方法进行自身对照研究，对68例老年下肢骨折患者实施心理干预。采用焦虑自评量表（SAS）和抑郁自评量表（SDS），干预前后与常模比较，评价并比较患者入院和出院时的焦虑和抑郁状况。结果出院时焦虑和抑郁患者明显少于入院时，比较差异有统计学意义（P<0.05）；出院时焦虑和抑郁量表测量评分效果明显优于入院时，比较差异有统计学意义（P<0.05）。结论心理干预可有效降低老年下肢骨折患者的焦虑和抑郁程度，从而使患者积极配合治疗，值得骨科临床推广使用。
목적：탐토심리간예대노년하지골절환자심리상태적간예효과。방법진행자신대조연구，대68례노년하지골절환자실시심리간예。채용초필자평량표（SAS）화억욱자평량표（SDS），간예전후여상모비교，평개병비교환자입원화출원시적초필화억욱상황。결과출원시초필화억욱환자명현소우입원시，비교차이유통계학의의（P<0.05）；출원시초필화억욱량표측량평분효과명현우우입원시，비교차이유통계학의의（P<0.05）。결론심리간예가유효강저노년하지골절환자적초필화억욱정도，종이사환자적겁배합치료，치득골과림상추엄사용。
Objective To investigate the intervention effects of psychological intervention in the elderly patients with lower limb fracture. Methods This study was a self-comparative study. Psychological intervention was used in 68 elderly patients with lower limb fracture. Self-Rating Anxiety Scale (SAS) and self-rating depression scale (SDS) were used to compare the anxiety and depression status of the patients at admission and discharge. The states before and after the intervention were compared with the norms. Results The patients with anxiety and depression at discharge were less than at admission, and the differences were significant(P<0.05). The anxiety and depression scores of patients at discharge were better than at admission, and the differences were signiifcant(P<0.05). Conclusion Psychological intervention can effectively reduce the anxiety and depression of elderly patients with lower limbs fractures, allowing them to responded well to treatment, and it has great value in clinical application.