摘要
目的探讨和分析全膝关节置换术后假体周围感染患者的社会心理因素的变化情况,以期为此类患者提供更好的社会心理康复治疗。方法采用调查问卷方法,运用心理状况自评量表(SCL-90)、艾森克个性问卷(EPQ)、社会支持评定量表(SSRS)及生活事件量表(LES)分别对21例全膝关节置换术后假体周围感染患者(研究组)和30例初次全膝关节置换患者(对照组)进行问卷调查,资料统计结果采用t检验及方差分析对各项指标均数进行检测分析。结果全膝关节置换术后假体周围感染组的患者表现出较多的社会心理因素障碍,其中心理状况自评表中的躯体化、抑郁、焦虑、精神性、阳性项数及总分6个因子评定均显著高于对照组(P<0.05);艾森克个性问卷中的精神质与神经质显著低于对照组(P<0.01);社会支持评定表中的客观支持、支持利用度及总社会支持评分均显著低于对照组(P<0.01);生活事件量表中的紧张总值、负性事件紧张总值、生活事件数均显著高于对照组(P<0.01)。结论全膝关节置换术后假体周围感染患者普通存在较明显的社会心理障碍,即心理健康和社会支持力均低下,对此类患者除在给予药物、手术治疗的同时,应给予适当的心理治疗与社会支持干预。
Objective To assess the change of psychosocial status in patients with periprosthetic joint infection（PJI） after total knee arthroplasty（TKA）. Methods A total of 51 patients including 21 patients diagnosed with PJI after TKA（study group） and 30 patients not showing any sign of infection after primary TKA（control group） were enrolled, among whom questionnaires were performed using Symptom check list 90（SCL-90）、Eysenck Personality Questionnaire（EPQ）、Life events scale（LES） and Social Support Rating Scale（SSRS）. Student＇s t test and ANOVA test were used for statistical analysis. Results The PJI group manifested much more mental disorder and less acquisition of social support. Among all items of the questionnaires, PJI group got significantly higher scores than the control group in somatization, depression,anxiety, psychotism, positive items and level of total pain of SCL-90（P〈0.05）; the LES scores of the PJI group were also significantly higher than that of the control group（P〈0.01）; the EPQ scores and the objective support scores and support availability as well as total social support scores of the SSRS of PJI group were significantly lower than that of the control group（P〈0.01）. Conclusion The patients with PJI after TKA tend to develop more psychosocial problems and we suggest that they should receive proper psychological treatment and social supports besides medical treatment.
作者
杨琴
方忠
李勇
徐勇
杨卿
肖骏
Yang Oin;Fang Zhong;Li Yong(Department of Pathology;Department of Orthopech＇as,The Tongji Hospital of Affiliated Tongji Medical College of Huazhong University of Science ＆ Technologjg,Wuhan Hubei,430030,China)
出处
《生物骨科材料与临床研究》
CAS
2018年第5期24-26,共3页
Orthopaedic Biomechanics Materials and Clinical Study
基金
中央高校基本科研业务费专项资金资助项目(2014TS074)
湖北省自然科学基金项目(2014CFB196)
关键词
全膝关节置换术
感染
心理学
社会学
Total knee replacement
Infection
Psychology
Sociology
