早期系统性心理干预对老年下肢骨折术后合并焦虑抑郁患者的影响

Effects of early systematic psychological intervention in elderly patients with anxiety and depression after lower limb fracture surgery

目的探讨早期系统性心理干预对老年下肢骨折术后合并焦虑抑郁患者应激反应水平,心理健康状态的影响。方法选取2019年5月~2021年5月期间在郑州市骨科医院接受手术治疗的109例老年下肢骨折患者为研究对象,随机分为两组,对照组54例给予常规心理疏导,观察组55例患者在对照组基础上增加早期系统性心理干预,对比两组患者心理健康水平,应激反应,骨折术后恢复情况。结果观察组干预后,焦虑自评量表(SAS),抑郁自评量表(SDS)评分低于对照组,乐观性,力量性,坚韧性评分均高于对照组(P<0.05);观察组干预后,血清皮质醇(Cor),去甲肾上腺素(NE),肾上腺素(E)水平均低于对照组(P<0.05);观察组干预后,简式下肢Fungl-Meyer运动功能量表(FMA),Berg平衡量表(BBS)评分均高于对照组,差异显著(P<0.05)。结论早期系统性心理干预对老年下肢骨折术后合并焦虑抑郁患者效果确切,能够缓解焦虑抑郁情绪,降低应激反应水平,促进骨折术后恢复。

Objective To study the influence of early systematic psychological intervention on stress response level and mental health status of elderly patients with anxiety and depression after lower limb fracture surgery.Methods A total of 109 elderly patients with lower limb fracture who received surgical treatment from May 2019 to May 2021 in the Lower limb Department of Zhengzhou Orthopaedic Hospital were selected and randomly divided into two groups.54 patients in the control group received conventional psychological counseling,and 55 patients in the observation group received early systematic psychological intervention on the basis of the control group.The mental health level,stress response and postoperative recovery of fracture were compared between the two groups.Results After intervention,the scores of self-rating anxiety Scale(SAS)and self-rating depression Scale(SDS)in the observation group were lower than those in the control group,and the scores of optimism,strength and tenacity were higher than those in the control group(P<0.05).After intervention,the levels of serum cortisol(Cor),norepinephrine(NE)and adrenaline(E)in observation group were lower than those in control group(P<0.05).After intervention,the fungl-Meyer motor Function Scale(FMA)and Berg Balance Scale(BBS)scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Early systemic psychological intervention has a definite effect on elderly patients with anxiety and depression after lower limb fracture surgery,which can relieve anxiety and depression,reduce stress response level and promote postoperative recovery of fracture.