心理干预对股骨髁上骨折患者功能康复的作用  

Effect of psychological intervention on functional rehabilitation of femoral supracondylar fractures

作　　者：王允彦[1] 马险峰[1] 张长海[1] 李斌[1] 李明福[1] 

机构地区：[1]济宁市第二人民医院骨科,济宁272000

出　　处：《中华行为医学与脑科学杂志》2011年第7期611-612,共2页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的探讨心理干预对股骨髁上骨折功能康复的作用。方法根据AO标准诊断的C型骨折患者，据患者骨折病情、性别、年龄、文化程度均衡匹配原则入选干预组和对照组，两组分别完成42例。对照组进行常规治疗和骨折功能康复指导，干预组除常规治疗和康复指导外，于术后第3天，第2，3，4周进行4次心理综合干预。在术前和术后6个月使用抑郁自评量表（SDS）和焦虑自评量表（SAS）评定两组患者的情绪。结果干预前两组焦虑、抑郁评分差异无显著性（P〉0．05），术后6个月，干预组与对照组焦虑评分[（41．6±9．4）分，（48．7±8．5）分]，抑郁评分[（40．6±7．6）分，（47．4±9．2）分]比较，差异有显著性（P〈0．0I）；膝关节功能恢复情况等级比例，经秩和检验，差异有显著性（u=-2．0591，P〈0．05）。结论心理综合干预能有效促使股骨髁上骨折患者功能隶复，对合并焦虑、抑郁等负性情绪的改善，效果显著。Objective Effect of psychological intervention on functional rehabilitation of femoral supracondylar fractures. Methods 84 type C fracture patients according to AO criteria for the diagnosis were collected, and randomly divided into intervention group （ n = 42 ） and control group （ n = 42） according to patient sex, age, fracture condition, cultural degree balanced matching principle. The control group was given conventional treatment and fracture features of health guidance, the intervention group in addition to conventional treatment and rehabilitation guidance. Comprehensive mental intervention applied 4 times on postoperative 3 days, the 2nd, 3rd, 4th week. Self-anxiety scale and self-depression scale were used before operation and 6th month after operation. Results The anxiety and depression scores in two groups before intervention showed no significant difference P 〉0.05）. 6 months after the operation, the anxiety score （41.6 ± 9.4 vs 48.7 ± 8.5） and depression score （40.6 ±7.6 vs 47.4 ± 9.2 ） in intervention group apparently decreased than that in control group （P 〈0.01 ）. Function restoration of knee joint in different effect showed better than control group（ u = -2. 0591, P 〈0. 05 ）. Conclusion Psychological intervention can effectively promote the functional recovery of patients with femoral supraeondylar fractures and promote anxiety and depression mood.

关 键 词：股骨髁上骨折 功能康复 心理干预 

分 类 号：R473.6[医药卫生—护理学]