阶梯式心理干预在人工髋关节置换术后骨肉瘤患者中的应用效果

Application effect of stepped psychological intervention in patients with osteosarcoma after artificial hip replacement

目的 探讨阶梯式心理干预在人工髋关节置换术后骨肉瘤患者中的应用效果。方法 根据干预方式的不同将96例人工髋关节置换术后骨肉瘤患者分为对照组和观察组,每组48例,对照组患者予以常规干预,观察组患者在对照组的基础上予以阶梯式心理干预。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疼痛程度[视觉模拟评分法(VAS)]、生活质量[健康调查简表(SF-36)]、髋关节功能(Harris髋关节功能评分标准)、日常生活活动能力[Barthel指数(BI)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、并发症发生率及满意度。结果 干预后,两组患者SAS、SDS及VAS评分均低于本组干预前,观察组患者SAS、SDS及VAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36各维度评分及Harris、BI评分均高于本组干预前,PSQI评分均低于本组干预前,观察组患者SF-36各维度评分及Harris、BI评分均高于对照组,PSQI评分低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论 阶梯式心理干预可有效改善人工髋关节置换术后骨肉瘤患者的负性情绪,降低疼痛程度,提高生活质量、髋关节功能、日常生活活动能力及睡眠质量,临床应用价值较高。

Objective To investigate the application effect of stepped psychological intervention in patients with os-teosarcoma after artificial hip replacement.Method A total of 96 patients with osteosarcoma after artificial hip replace-ment were divided into control group and observation group according to different intervention methods,with 48 cases in each group.The patients in the control group were given conventional intervention,and the patients in the observation group were given stepped psychological intervention on the basis of the control group.The negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],pain level[visual analogue scale(VAS)],quality of life[the MOS 36-item short form health survey(SF-36)],hip joint function(Harris hip function score),activities of daily living[Barthel index(BI)],sleep quality[Pittsburgh sleep quality index(PSQI)],incidence of complications,and satisfaction were compared between the two groups.Result After the intervention,the SAS,SDS,and VAS scores of the two groups were lower than those before the intervention,and the above scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,each dimension of SF-36,and Harris and BI scores of the two groups were higher than those before the intervention,and the PSQI scores were low-er than those before the intervention,each dimension of SF-36,Harris and BI scores of the observation group were higher than those of the control group,the PSQI score was lower than that of the control group,and the differences were statisti-cally significant(P<0.05).The total incidence of complications in the observation group was lower than that in the con-trol group,and the satisfaction rate was higher than that in the control group,and the differences were statistically signifi-cant(P<0.05).Conclusion The stepped psychological intervention could effectively improve the negative emotions of osteosarcoma patients after artificial hip replacement,reduce their pain level,improve the quality of life,hip joint func-tion,activities of daily living,and sleep quality,and has high clinical application value.