基于生物-心理-社会的护理模式干预对老年膝关节置换术患者术后恐动症及心理状况的影响  

Effects of bio-psycho-social nursing intervention on postoperative kinesophobia and psychological status of elderly patients undergoing knee joint replacement

作　　者：吕云 赵建丽 陈学艳 LYU Yun;ZHAO Jianli;CHEN Xueyan(Orthopedics Department of Lanling County People's Hospital,Linyi 277700,China)

机构地区：[1]兰陵县人民医院骨科,山东临沂277700

出　　处：《心理月刊》2023年第11期176-178,共3页

摘　　要：目的探讨基于生物-心理-社会的护理模式干预对老年膝关节置换术后恐动症及心理状况的影响。方法选取2020年1月~2022年10月期间在本院进行治疗的99例老年膝关节置换术患者作为本次研究对象。通过随机数表法将其分为两组,对照组49例患者实施常规护理干预,实验组50例患者在对照组的基础上实施基于生物-心理-社会的护理模式干预。对比两组患者的术后恐动症及心理状况。采用t进行差异的显著性检验。结果术后14 d两组患者的恐动症评分表(TSK)评分较术后24 h降低,且术后14 d实验组患者恐动症TSK评分低于对照组(P<0.05);术后24 h两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较无显著差异(P>0.05);术后14 d两组患者的SAS评分、SDS评分较术后24 h降低,且术后14 d实验组患者SAS评分、SDS评分低于对照组(P<0.05)。结论对老年膝关节置换术后患者应用基于生物-心理-社会的护理模式干预可降低其术后恐动症,改善其心理状况。Objective To explore the impact of bio-psycho-social nursing model intervention on postoperative kinesophobia and psychological status in elderly patients undergoing knee arthroplasty.Methods 99 elderly knee joint replacement patients who underwent treatment in our hospital from January 2020 to October 2022 were selected as the subjects of this study.They were divided into two groups using a random number table method.The control group had 49 patients who received routine nursing interventions,while the experimental group had 50 patients who received nursing interventions based on bio-psycho-social model on the basis of the control group.Compare the postoperative kinesophobia and psychological status of two groups of patients.T test was used to test the significance of differences.Results On the 14th day after surgery,the Tampa scale of kinesophobia(TSK)score of motor phobia in both groups of patients decreased compared to the 24th hour after surgery,and on the 14th day after surgery,the TSK score of motor phobia in the experimental group was lower than that in the control group(P<0.05);comparison of self-rating anxiety scale(SAS)and selfrating depression scale(SDS)scores between the two groups of patients 24 hours after surgery(P>0.05);the SAS and SDS scores of the two groups of patients decreased compared to 24 hours after surgery on the 14th day after surgery,and the SAS and SDS scores of the experimental group were lower than those of the control group on the 14th day after surgery(P<0.05).Conclusion The application of bio-psycho-social nursing model intervention for elderly patients after knee arthroplasty can reduce their postoperative fear of movement and improve their psychological status.

关 键 词：基于生物-心理-社会的护理模式 膝关节置换术 恐动症 

分 类 号：R47[医药卫生—护理学]