心理干预结合早期康复锻炼对股骨颈骨折患者髋关节功能康复和焦虑抑郁情绪的影响

Influence of psychological intervention combined with early rehabilitation exercise on hip joint functional recovery and anxiety and depression of in patients with femoral neck fractures

目的:探讨心理干预结合早期康复锻炼对股骨颈骨折患者髋关节功能康复和焦虑抑郁情绪的影响。方法:选取我院2016年5月至2017年5月收治的80例股骨颈骨折患者作为研究对象,根据随机数字表法分为两组,分别为对照组(40例)和观察组(40例),对照组患者在临床上给予早期康复锻炼干预,观察组患者在对照组的基础上实行心理干预治疗,两组患者均干预半个月,对比两组患者髋关节功能康复(采用Harris髋关节功能量表)及焦虑抑郁情绪评分,详细记录其心理状态改善和干预满意度的变化情况。结果:干预前,两组患者的焦虑及抑郁程度组间无显著差异(P>0.05);两组患者干预后抑郁及焦虑程度均降低(P<0.05),且观察组的降低幅度显著高于对照组(t=8.527,15.721;P<0.001);经干预后,观察组髋关节疼痛程度及活动度、关节功能的评分均显著高于对照组,两组相比差异具有统计学意义(t=4.478,11.090,2.779;P<0.01);观察组患者抑郁症状治疗总有效率显著高于对照组,差异具有统计学意义(χ~2=5.165,P<0.05);观察组患者焦虑症状治疗总有效率明显高于对照组(χ~2=5.000,P<0.05);观察组干预治疗满意度显著高于对照组(χ~2=7.314,P<0.01)。结论:对股骨颈骨折患者,采取心理干预结合早期康复锻炼其疗效确切,能有效地控制患者的焦虑抑郁情绪,改善其心理状态及髋关节功能康复情况,提高对干预的满意度,促进医患关系,具有良好的积极意义。

Objective:To investigate the influence of psychological intervention combined with early rehabilitationexercise on hip joint functional recovery and anxiety and depression of in patients with femoral neck fractures.Methods:A total of 80cases of femoral neck fractures treated in our hospital from May 2016to May 2017were selectedand divided into control group and observation group,each with 40cases,The control group received the early rehabilitation exercise,based on this,the observation group received the psychological intervention,both groups took theintervention for 15d,Harris hip joint assessment,anxiety and depression scores,psychological status and interventionsatisfaction of the two groups were recorded and compared.Results:The degree of anxiety and depression between thetwo groups showed no significant difference before intervention(P>0.05),which were decreased after intervention(P<0.05),and the decreasing level was more obvious in the observation group than those in the control group(t=8.527,15.721;P<0.001);After the intervention,the scores of hip joint pain and activity and joint function in the observation group were significantly higher than those in the control group(t=4.478,11.090,2.779;P<0.01);The total curing effective rate of depressive symptoms in the observation group was significantly higher than that in thecontrol group(χ2=5.165,P<0.05);The total curing effective rate of anxiety symptoms in the observation groupwas significantly higher than that in the control group(χ2=5.000,P<0.05);The intervention satisfaction rate in theobservation group was significantly higher than that in the control group(χ2=7.314,P<0.01).Conclusion:For patients with femoral neck fractures,psychological intervention combined with early rehabilitation exercise is an effective way to ameliorate the negative emotions such as anxiety and depression,improve their psychological state,hipfunction recovery and intervention satisfaction rate,promote the relationship between doctors and patients.