积极心理干预用于膝关节骨性关节炎的临床应用

Clinical Value of Positive Psychological Intervention in Knee Osteoarthritis

目的探究积极心理干预用于膝关节骨性关节炎(KOA)的临床应用。方法纳入2021年2月至2023年2月在海军陆战队医院接受治疗的76例KOA患者为研究对象,以随机数字表法进行分组,对照组38例,行常规护理,研究组38例采取常规护理联合积极心理干预。使用中文版心理弹性量表、心理健康症状自评量表(SCL-90)、简易应对方式问卷评价两组干预前后心理弹性水平、心理健康水平及应对方式,比较两组护理满意度。结果干预后两组乐观、力量、坚韧维度评分及心理弹性量表总分高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。干预后两组SCL-90评分低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预后两组积极应对评分均高于干预前,消极应对评分均低于干预前,且研究组积极应对评分高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。干预后研究组护理满意率高于对照组,差异具有统计学意义(P<0.05)。结论积极心理干预可有效提升KOA患者心理弹性与心理健康水平,诱导其采取积极应对的方式面对问题,保证护理质量。

Objective To study the clinical application value of positive psychological intervention based on positive psychology theory in knee osteoarthritis(KOA).Methods A total of 76 KOA patients treated at the Marine Corps Hospital from February 2021 to February 2023 were included as research subjects.They were randomly divided into a control group(38 cases)receiving routine nursing care and a study group(38 cases)receiving routine nursing care combined with positive psychological intervention.The Chinese version of the Psychological Resilience Scale,Symptom Checklist-90(SCL-90),and Simplified Coping Style Questionnaire were used to evaluate the psychological resilience level,mental health level,and coping style of the two groups before and after the intervention.Nursing satisfaction was also compared between the two groups.Results After the intervention,the scores of optimism,strength,tenacity dimensions,and the total score of the Psychological Resilience Scale in both groups were higher than before the intervention,and the scores in the study group were higher than those in the control group,with statistically significant differences(P<0.05).After the intervention,the SCL-90 scores in both groups were lower than before the intervention,and the scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).After the intervention,the positive coping scores in both groups were higher than before the intervention,and the negative coping scores were lower than before the intervention.The positive coping scores in the study group were higher than those in the control group,and the negative coping scores were lower than those in the control group,with statistically significant differences(P<0.05).The nursing satisfaction rate in the study group was higher than that in the control group after the intervention,with statistically significant differences(P<0.05).Conclusion Positive psychological intervention based on positive psychology theory can effectively improve the psychological resilience and mental health level of KOA patients,induce them to adopt positive coping styles to face problems,and ensure the quality of nursing care.