CAJ | 학술논문

[目的]观察股骨头坏死行人工生物型全髋关节置换术后病人的情绪、生活质量、髋关节功能的变化情况,探讨实施综合心理干预对术后病人不良情绪、髋关节功能、生活质量的影响作用。[方法]选择某三级甲等医院股骨头坏死病人200例,随机分为干预组和对照组各100例。对照组给予常规治疗及其护理；干预组在此基础上针对影响生活质量的因素再给予综合心理干预(认知转变、放松训练、支持疗法)。采用焦虑自评量表(SAS)、汉密尔顿他评抑郁量表(HAMD)、健康状况调查问卷(SF 36)、Harris 髋关节功能评分量表进行测评。[结果]影响股骨头坏死置换术病人生活质量的因素有焦虑、病程、受教育水平、家庭经济收入、患病时间；干预组心理干预后较对照组病人焦虑、抑郁水平明显降低(P<0.05),生活质量有所提高(P<0.05),Harris 髋关节功能评分有所提高(P<0.05),离床活动时间缩短。[结论]对股骨头坏死全髋关节置换术病人实施综合心理干预,可有效改善术后病人的负性情绪,缩短住院时间,帮助和促进股骨头坏死病人康复,进而提高生活质量。
[목적]관찰고골두배사행인공생물형전관관절치환술후병인적정서、생활질량、관관절공능적변화정황,탐토실시종합심리간예대술후병인불량정서、관관절공능、생활질량적영향작용。[방법]선택모삼급갑등의원고골두배사병인200례,수궤분위간예조화대조조각100례。대조조급여상규치료급기호리；간예조재차기출상침대영향생활질량적인소재급여종합심리간예(인지전변、방송훈련、지지요법)。채용초필자평량표(SAS)、한밀이돈타평억욱량표(HAMD)、건강상황조사문권(SF 36)、Harris 관관절공능평분량표진행측평。[결과]영향고골두배사치환술병인생활질량적인소유초필、병정、수교육수평、가정경제수입、환병시간；간예조심리간예후교대조조병인초필、억욱수평명현강저(P<0.05),생활질량유소제고(P<0.05),Harris 관관절공능평분유소제고(P<0.05),리상활동시간축단。[결론]대고골두배사전관관절치환술병인실시종합심리간예,가유효개선술후병인적부성정서,축단주원시간,방조화촉진고골두배사병인강복,진이제고생활질량。
Objective:To observe the changes of mood,quality of life and hip joint function of osteonecrosis pa-tients after undergoing bioprosthetic total hip arthroplasty and probe into the influence of implementation of comprehensive psychological intervention on negative emotions,hip joint function and quality of life of patients after surgery.Methods:A total of 200 cases of osteonecrosis patients in a three grade A hospital were randomly divided into intervention group and control group,100 cases in each.The patients in control group were qiven routine treatment and nursing;besides that patients in intervention group were given the comprehensive psycho-logical intervention (cognitive change,relaxation training,supportive therapy)aiming at influencing factors of the quality of life.The self rating Anxiety Scale (SAS),Hamilton his rating Depression Scale (HAMD),health survey questionnaire (SF 36),Harris hip function scores care were used to evaluate.Results:The influencing factors of quality of life of patients after osteonecrosis arthroplasty included anxiety,course of disease,educa-tional level,family income and the time of illness;the anxiety and depression level of patients in intervention group after psychological intervention were decreased significantly compared with that in control group(P<0.05), the quality of life was improved(P<0.05),Harris hip joint function score was improved(P<0.05),ambulation time was shortened.Conclusion:To implement comprehensive psychological intervention for osteonecrosis pa-tients undergoing total hip replacement can effectively improve the negative emotion of patients after surgery, shorten hospitalization time,help and promote the rehabilitation of osteonecrosis patients,and enhance their quality of life.