心理干预对腰椎椎间孔镜微创术后患者负性情绪的影响  

Efect of psychological intervention on negative emotions of patients after minimally invasive lumbar foraminal surgery

作　　者：阴志华[1] 司文腾[1] 魏岚[1] YIN Zhihua;SI Wenteng;WEI Lan(Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院,郑州450052

出　　处：《国际精神病学杂志》2023年第2期331-334,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划联合共建项目(编号;LHGJ20191147)。

摘　　要：目的 探讨腰椎椎间孔镜微创手术患者实行心理干预的临床价值及对负性情绪的改善效果,为临床治疗提供循证依据。方法 于2019年5月~2020年5月阶段招募病例展开研究,纳入医院收治且经严格纳排标准后的86例腰椎椎间孔镜微创手术患者为研究对象,以随机数字表法做分组处理,每组各43例,组别记为对照组与观察组,对照组提供常规干预措施,观察组配合开展心理干预;于干预前后评估患者焦虑抑郁程度和心理弹性,同时判定患者干预前后的生活质量。结果 干预前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心理弹性量表(CD-RISC)评分比较无明显差异(P>0.05),观察组干预后SAS评分、SDS评分较对照组显著低,CD-RISC评分明显高于对照组(P<0.05);干预前,两组生活质量即健康状况调查量表(SF-36)评分比较(P>0.05);干预后,观察组SF-36评分明显高于对照组(P<0.05)。结论 心理干预实施于腰椎椎间孔镜微创手术患者,可发挥改善患者负性情绪、提高心理弹性的积极作用,以有效减轻术后疼痛,实现患者生活质量的显著提升,提高患者满意度。Objective To explore the clinical value of psychological intervention in patients undergoing minimally invasive lumbar foraminal surgery and the improvement of negative emotions,so as to provide evidence based basis for clinical treatment.Methods From May 2019 to May 2020,86 cases of minimally invasive lumbar intervertebral foraminal surgery were collected and studied.86 patients who were admitted to the hospital and were treated by strict inclusion and exclusion criteria were taken as the research objects.The random number table method was used to group them.43 patients in each group were recorded as the control group and the observation group.The former group provided routine intervention measures,and the latter group cooperated with psychological intervention.The degree of anxiety and depression and psychological resilience of the patients were evaluated before and after the intervention,and the quality of life of the patients before and after the intervention was determined.Results Before intervention,there were no difference in SAS,SDS and CD RISC scores between two groups(P>0.05).After intervention,the SAS and SDS scores of the observation group were significantly lower than those of the control group,and the CD RISC scores were significantly higher than those of the control group(P<0.05).Before intervention,the scores of the quality of life or health status questionnaire(SF-36)in the two groups were compared(P>0.05).After intervention,the SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Psychological intervention applied to patients undergoing minimally invasive lumbar intervertebral foraminal surgery can play a positive role in improving the negative emotions and psychological resilience of patients,so as to effectively reduce postoperative pain,significantly improve the quality of life of patients and improve patient satisfaction.

关 键 词：心理干预 椎间孔镜微创手术 负性情绪 心理弹性 

分 类 号：R749[医药卫生—神经病学与精神病学]