摘要
目的:探讨情志疗法对下肢骨折伴心理障碍患者术后锻炼依从性、患肢功能恢复及心理健康的影响。方法:随机数字法将2015年1月-2017年6月收治的104例下肢骨折伴心理障碍患者分为观察组与对照组各52例。对照组采取常规干预,观察组除常规干预外,还行情志疗法,比较两组干预前后心理变化[焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)]、术后锻炼依从性、患肢功能恢复及并发症发生率。结果:观察组干预后SAS、SDS、SCL-90得分均显著低于对照组,Fugl-Meyer运动功能评分(FMA)显著高于对照组,差异有统计学意义(t=-6.241,-4.637,-4.803,6.162;P<0.05);观察组患者术后锻炼总依从率96.25%,显著高于对照组的84.62%(χ~2=3.983,P<0.05);观察组术后下肢深静脉血栓发生率1.92%,显著低于对照组的15.38%(χ~2=4.379,P<0.05)。结论:中医情志疗法能明显减轻下肢骨折伴心理障碍患者焦虑、抑郁情绪,显著提高其术后锻炼依从性,减少下肢深静脉血栓发生,促其患肢功能良好恢复。
Objective:To investigate the effect of emotional therapy on postoperative exercise compliance,limb function recovery and mental health of patients with lower limb fractures and mental disorders.Methods:A total of 104 patients with lower limb fractures and mental disorders who were treated during the period from January 2015 to June 2017 were divided into the observation group and the control group by the random number table method,with 52 cases in each group.The control group were given routine intervention while the observation group were given routine intervention and emotional therapy.Psychological changes[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),symptom checklist(SCL-90)]before and after the intervention,postoperative exercise compliance,limb function recovery and the incidence of complications were compared between the two groups.Results:Scores of SAS,SDS and SCL-90 in the observation group were significantly lower than those in the control group,while scores of Fugl-Meyer motor function(FMA)were significantly higher than those in the control group(t=-6.241,-4.637,-4.803,6.162;P<0.05).The total exercise compliance rate of the observation group was significantly higher than that of the control group(χ~2=3.983,P<0.05).The incidence of postoperative deep venous thrombosis in the observation group was significantly lower than that in the control group(χ~2=4.379,P<0.05).Conclusion:TCM emotional therapy can significantly reduce the anxiety and depression of patients with lower limb fractures and mental disorders,significantly improve their postoperative exercise compliance,reduce the incidence of deep venous thrombosis,and promote the recovery of limb function.
作者
丁宏霞
秦芸
DING Hongxia;QIN Yun(Microscopical Department of Orthopedics,The 105th Hospital of PLA,Hefei 230031,China)
出处
《中国健康心理学杂志》
2019年第11期1664-1668,共5页
China Journal of Health Psychology
基金
安徽省自然科学基金(编号:1208085QH129)
关键词
情志疗法
下肢骨折
心理障碍
锻炼依从性
Emotional therapy
Lower limb fracture
Mental disorder
Exercise compliance
