心理干预在人工膝关节置换术患者围术期中的作用

The effect of psychological intervention in patients after artificial knee replacement surgery during the perioperative period

目的探讨人工膝关节置换术患者治疗中开展心理干预对其心理状态,情绪及术后生活质量的影响。方法于2019年10月~2022年10月采集病例资料入档,对象为医院收治的人工膝关节置换术患者共计纳入110例,纳入对象基于“随机数字表法”规范化分组处理,划分为对照组(实行常规护理)与观察组(开展常规护理+心理干预),各组纳入55例;观察对比两组负性情绪,心理弹性,生活质量,患者满意度。结果干预后,两组汉密顿焦虑量表(HAMA),汉密顿抑郁量表(HAMD)评分均降低,其中观察组评分更低(P<0.05);干预后,两组心理弹性量表(CD-RISC)评分均升高,其中观察组更高(P<0.05);干预后,两组简易健康状况调查表(SF-36)评分均升高,其中观察组相对更高(P<0.05);观察组患者满意度较对照组显著高(P<0.05)。结论心理干预用于人工膝关节置换术患者围术期,可使其焦虑抑郁等负性情绪得到显著改善,提高心理弹性,提升患者治疗满意度及配合度,改善生活质量。

Objective To explore the impact of psychological intervention on the psychological,emotional,and postoperative quality of life of patients undergoing artificial knee replacement surgery.Methods Case data were collected and recorded from October 2019 to October 2022.A total of 110 patients with artificial knee replacement surgery admitted to the hospital were included.The participants were divided into a control group(receiving routine care)and an observation group(receiving routine care+psychological intervention)based on a standardized"random number table"method,with 55 patients included in each group;Observe and compare negative emotions,psychological resilience,quality of life,and patient satisfaction between the two groups.Results After intervention,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in both groups decreased,with the observation group scoring lower(P<0.05).After intervention,the scores of the psychological resilience scale(CD-RISC)increased in both groups,with the observation group having a higher score(P<0.05).After intervention,the scores of both groups on the Simplified Health Status Questionnaire(SF-36)significantly increased,with the observation group being relatively higher(P<0.05).The satisfaction of patients in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Psychological intervention used in patients undergoing artificial knee arthroplasty during the perioperative period can significantly improve their negative emotions such as anxiety and depression,enhance psychological resilience,increase patient satisfaction and cooperation with treatment,and comprehensively improve their quality of life.