心理干预对慢性踝关节不稳定患者术后康复的影响  

The effect of mental intervention on the postoperative rehabilitation of chronic ankle disability

作　　者：连晓杰[1] 陈华[1] 胡勇[1] 赵晶[1] 

机构地区：[1]山东大学第二医院手足外科,山东济南250000

出　　处：《足踝外科电子杂志》2016年第2期34-36,共3页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的探讨心理干预对慢性踝关节不稳定患者术后康复效果的影响。方法回顾性分析山东大学第二医院2012年7月至2015年7月收治的90例慢性踝关节外侧不稳定患者的临床资料,所有患者均行手术治疗,根据随机、对照、双盲原则将患者分为观察组和对照组,每组45例。两组患者均行常规术后及康复护理,观察组患者同期进行针对性心理护理干预。随访3个月,采用美国足踝协会与后足功能评分(AOFAS)对两组患者踝关节功能进行评价,采用焦虑、抑郁自评量表(SAS、SDS)对患者在院期间的不良情绪进行评价。结果观察组患者AOFAS评分明显高于对照组,比较差异有统计学意义(P<0.05);观察组患者在院期间SAS、SDS评分明显低于对照组,差异有统计学意义(P<0.05)。结论对慢性踝关节外侧不稳定手术治疗患者进行针对性护理干预,能改善患者心理状态,促进踝关节功能恢复,值得在临床推广。Objective To discuss the effect of mental intervention on the postoperative rehabilitation of chronic ankle disability. Methods From July 2012 to July 2015,ninety patients with chronic ankle disability was accepted operative treatment in the Second Hospital of Shandong University.The patients were divided to two groups according to random and double-blinded principles.The patients in the control group only accepted common rehabilitation,while the patients in the observation group accepted both common rehabilitation and mental intervention.All the patients were followed up for 3 months. The ankle function were evaluated by Ameriean Orthopaedic Foot＆ankle Soeiety（AOFAS）.The emotion of patients was evaluated by SAS and SDS. Results The AOFAS score was much higher in observation group than control group（P〈0.05）,and also the the SAS and SDS score of observation group in the hospital were much lower than control group（P〈0.05）. Conclusion Mental intervention can improve patient psychologieal states and promote the ankle rehabilitation,so it is very helpful for the patient with chronic ankle disability.

关 键 词：踝关节 不稳定 心理干预 康复训练 

分 类 号：R473.6[医药卫生—护理学]