论文部分内容阅读
目的:探讨心理干预对全膝关节置换患者治疗依从性及术后膝关节功能及活动度的影响。方法:选取在本院住院治疗行全膝关节置换术的患者60例,随机分成观察组和对照组各30例,对照组只进行常规护理、健康教育及疼痛治疗,而观察组则在对照组基础上给予相应的心理干预。分别在入院时,手术前、后,出院前1 d采用焦虑自评量表(SAS)和抑郁自评量表(SDS)测定患者的抑郁、焦虑状况,然后将原始分换算成标准分进行分析。观察和记录两组患者对膝关节置换术及术后功能锻炼的依从性。对两组患者术前、术后行膝关节评分标准(KSS)评分。结果:观察组在手术前、手术后、出院前1 d SAS、SDS评分与对照组比较,差异具有统计学意义(P<0.05)。观察组患者对膝关节置换手术及术后功能锻炼的依从性与对照组比较,差异具有统计学意义(P<0.05)。观察组术后KSS评分与对照组比较,差异具有统计学意义(P<0.05)。结论:心理干预可使全膝关节置换患者正确认识全膝关节置换术及术后功能锻炼的重要性,积极配合医护人员的治疗,从而提高术后患者生活质量及膝关节功能。
Objective: To investigate the psychological intervention in patients with total knee replacement treatment compliance and postoperative knee function and activity. Methods: Sixty patients who underwent total knee arthroplasty in our hospital were randomly divided into observation group (30 cases) and control group (30 cases). The control group received routine nursing, health education and pain treatment. The observation group Based on the appropriate psychological intervention. Patients’ depression and anxiety status were measured before admission, after operation, and on the first day before discharge by using SAS and SDS respectively. Then the original scores were converted into standard scores . Observe and record the compliance of knee joint replacement and postoperative functional exercise in both groups. The knee joint score (KSS) scores of the two groups were measured before and after operation. Results: The scores of SAS and SDS on the 1st day before discharge in the observation group before operation and after operation were significantly different from those in the control group (P <0.05). The compliance of the observation group patients with knee replacement surgery and postoperative functional exercise compared with the control group, the difference was statistically significant (P <0.05). The postoperative KSS score of the observation group compared with the control group, the difference was statistically significant (P <0.05). Conclusion: Psychological intervention can make the patients with total knee arthroplasty recognize the importance of total knee arthroplasty and postoperative functional exercise, actively cooperate with the medical staff to improve the postoperative quality of life and knee function.