CAJ | 학술논문

目的：探讨全髋关节置换术患者术前心理压力与术后早期髋关节功能康复的相关性。方法选取2011年1月至2013年6月在我院行全髋关节置换术并符合股骨头坏死(ONFH)患者98例，根据医院焦虑抑郁量表(HADS)对患者术前进行心理因素评分，当HADS≥11分时，表明患者存在严重不良情绪，设为观察组(38例)；当HADS＜11分时，即患者不存在严重不良情绪，设为对照组(60例)。运用髋关节功能评分标准(Harris评分)对入组患者术前和术后6个月髋关节功能进行比较分析；对患者术前心理状态与髋关节功能评分采取Pearson相关性分析。结果(1)术后6个月观察组Harris评分均低于对照组，差异均有统计学意义(P<0.05)；(2)担忧、抑郁与术后6个月的日常活动呈负相关(r值分别为-0.971、-1.004，P<0.05)，与髋关节疼痛呈正相关(r值分别为0.784、0.684，P<0.05)；(3)根据Harris评分，观察组的总有效率为78.94%，低于对照组的93.33%，差异有统计学意义(P<0.05)。结论术前不良情绪对髋关节术后康复有负面影响，术前不良情绪与功能呈负相关，与术后髋关节疼痛呈正相关，而改善患者术前不良情绪有利于患者术后早期康复。
목적：탐토전관관절치환술환자술전심리압력여술후조기관관절공능강복적상관성。방법선취2011년1월지2013년6월재아원행전관관절치환술병부합고골두배사(ONFH)환자98례，근거의원초필억욱량표(HADS)대환자술전진행심리인소평분，당HADS≥11분시，표명환자존재엄중불량정서，설위관찰조(38례)；당HADS＜11분시，즉환자불존재엄중불량정서，설위대조조(60례)。운용관관절공능평분표준(Harris평분)대입조환자술전화술후6개월관관절공능진행비교분석；대환자술전심리상태여관관절공능평분채취Pearson상관성분석。결과(1)술후6개월관찰조Harris평분균저우대조조，차이균유통계학의의(P<0.05)；(2)담우、억욱여술후6개월적일상활동정부상관(r치분별위-0.971、-1.004，P<0.05)，여관관절동통정정상관(r치분별위0.784、0.684，P<0.05)；(3)근거Harris평분，관찰조적총유효솔위78.94%，저우대조조적93.33%，차이유통계학의의(P<0.05)。결론술전불량정서대관관절술후강복유부면영향，술전불량정서여공능정부상관，여술후관관절동통정정상관，이개선환자술전불량정서유리우환자술후조기강복。
Objective To investigate the relationship between preoperative psychological pressure and post-operative early hip function recovery in patients undergoing total hip replacement surgery. Methods Ninety-eight pa-tients who underwent total hip arthroplasty and had avascular necrosis of the femoral head (ONFH) in our hospital from January 2011 to June 2013 were enrolled in the study. According to the psychological factor score based on Hos-pital Anxiety and Depression Scale (HADS), the patients were divided into the observation group (n=38, HADS≥11, indicating that patients had severe adverse emotion) and the control group (n=60, HADS<11, indicating that patients did not have severe adverse emotion). The hip joint function before operation and 6 months after operation were ob-served by Harris hip score, and the preoperative psychological status and the score of hip joint function were analyzed using the Pearson correlation analysis. Results (1) Six months after operation, Harris scores in the observation group were significantly lower than those in the control group, with statistically significant differences (P<0.05). (2) Worry, depression were negatively correlated with daily activities 6 months after operation (r=-0.971,-1.004, P<0.05), but were positively correlated with hip joint pain (r=0.784, 0.684, P<0.05). (3) According to the Harris hip score, the total effective rate was 78.94% in the observation group, significantly lower than 93.33% in the control group (P<0.05). Conclusion Preoperative adverse emotions exert negative effects on the rehabilitation of hip joint after operation, and the adverse emotions are negatively correlated with postoperative hip joint function but positively correlated with postoperative hip pain. To improve the patients' emotional status is conductive for postoperative early rehabilitation.