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老年股骨颈骨折髋关节置换前心理弹性和置换后急性精神障碍的相关性分析 被引量:10

Correlation between mental resilience before hip-replacement and acute mental disorder after hip-replacement in elderly patients with femoral neck fracture
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摘要 目的旨在探讨老年股骨颈骨折患者髋关节置换手术前心理弹性和手术后急性精神障碍的相关性。方法选取2016年4月至2017年11月行髋关节置换的老年股骨颈骨折患者152例,采用心理弹性量表问卷对置换前患者进行调查,并收集患者各项临床资料,统计置换手术后急性精神障碍发生率,分析置换前心理弹性和置换后急性精神障碍的相关性。结果 152例患者心理弹性水平总分为(56. 49±10. 58)分,显著低于中国社区老年人心理弹性得分[(60. 17±14. 28)分](t=2. 9822,P=0. 003);置换手术后出现10例(6. 57%)急性精神障碍患者,其中7例男性,3例女性;急性精神障碍者心理弹性总分和坚韧、自强、乐观得分显著低于未出现急性精神障碍者(P <0. 01);经Pearson相关性分析,心理弹性总分、坚韧得分、自强得分、乐观得分与置换后急性精神障碍均呈现负相关性(r=-0. 541、-0. 366、-0. 397、-0. 466,P均<0. 01)。结论老年股骨颈骨折髋关节置换术前心理弹性与术后急性精神障碍存在负相关性,术前心理弹性较低者手术后发生急性精神障碍率较高。 Objective To investigate the relationship between mental resilience before hip-replacement and acute mental disorder after hip-replacement in elderly patients with femoral neck fracture. Methods From April 2016 to November2017,152 elderly patients with femoral neck fracture were surveyed by Connor-Davidson Resilience Scale(CD-RISC)before undergoing hip-replacement. All clinical data of the patients were collected. The incidence of acute mental disorders after hip-replacement wascalculated,and the correlation between pre-operative psychological flexibility and post-operative acute mental disorders was analyzed. Results The total score of CD-RISC in 152 patients was significantly lower than that score of the elderly in Chinese community(56. 49 ± 10. 58 vs 60. 17 ± 14. 28,t = 2. 9822,P = 0. 003). There were 10 cases(6. 57%) of acute mental disorders after hip-replacement surgery including 7 males and 3 females. The total score of CDRISC and scores of tenacity,strength and optimism in patients with acute mental disorders were significantly lower than those of patients without acute mental disorders(P〈0. 01). Pearson correlation analysis showed that total score of CD-RISC(r =-0. 541),tenacity score(r =-0. 366),strength score(r =-0. 466) and optimism score(r =-0. 397) were negatively correlated with acute mental disorder after hip-replacement(all P〈0. 01). Conclusions There is a negative relationship between preoperative mental resilience and postoperative acute mental disorders in elderly patients receiving hip replacement. The incidence of acute mental disorder is higher in the patients with lower mental resilience score before operation.
作者 王金红 殷霞 司海朋 WANG Jin-hong;YIN Xia;SI Hai-peng(Department of Medical Examination,Zibo First Hospital,Zibo,Shangdong 255200,China)
出处 《中国临床研究》 CAS 2018年第11期1519-1521,共3页 Chinese Journal of Clinical Research
基金 山东省自然科学基金项目(ZR2013HQ064)
关键词 股骨颈骨折 髋关节置换 心理弹性 急性精神障碍 Femoral neck fracture Hip replacement Mental resilience Acute mental disorder
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