五行健骨操结合心理干预对老年股骨颈骨折患者平衡能力及术后康复的影响研究  

Study on the Effect of Wuxing Jiangu Gymnastics Combined with Psychological Intervention on Balance Ability and Postoperative Rehabilitation of Elderly Patients with Femoral Neck Fracture

作　　者：邓芸梦 詹莉君 胡艳 DENG Yunmeng;ZHAN Lijun;HU Yan(The Affiliated Hospital of Jiangxi University of TCM,Nanchang 330000,China;不详)

机构地区：[1]江西中医药大学附属医院,江西南昌330000 [2]南昌市洪都中医院 [3]江西省妇幼保健院

出　　处：《中国医学创新》2023年第30期110-113,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202310711)。

摘　　要：目的:探讨五行健骨操结合心理干预对老年股骨颈骨折患者平衡能力及术后康复的影响。方法:采用前瞻性研究,选取2020年1月—2022年1月江西中医药大学附属医院收治的老年股骨颈骨折患者86例作为研究对象,以随机数字表法分为对照组和观察组,每组43例。两组均实施常规康复训练,对照组实施心理干预,观察组在对照组基础上加用五行健骨操。比较两组疼痛程度[视觉模拟评分法(VAS)]、负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、平衡能力[Berg平衡量表(BBS)]及并发症发生情况。结果:干预3个月后,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);经3个月干预后,两组SAS、SDS评分均降低,观察组均低于对照组,BBS评分均升高,观察组高于对照组,差异均有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:五行健骨操结合心理干预可有效缓解老年股骨颈骨折患者术后疼痛程度,改善负性情绪及平衡能力。Objective:To explore the effect of Wuxing Jiangu gymnastics combined with psychological intervention on balance ability and postoperative rehabilitation of elderly patients with femoral neck fracture.Method:A prospective study was performed.A total of 86 elderly patients with femoral neck fracture admitted to the Affiliated Hospital of Jiangxi University of TCM from January 2020 to January 2022 were selected as the research objects,and were divided into control group and observation group according to random number table method,with 43 cases in each group.Both groups received routine rehabilitation training,the control group received psychological intervention,and the observation group received Wuxing Jiangu gymnastics on the basis of the control group.Pain degree[visual analogue scale(VAS)],negative emotion[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],balance ability[Berg balance scale(BBS)]and complications were compared between the two groups. Result: After 3 months of intervention, VAS score of the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). After 3 months of intervention, SAS and SDS scores of both groups were decreased, and those in observation group were lower than those in control group, BBS scores were increased, and that in observation group was higher than that in control group, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion: Wuxing Jiangu gymnastics combined with psychological intervention can effectively relieve postoperative pain in elderly patients with femoral neck fracture, improve negative emotions and balance ability.

关 键 词：五行健骨操 心理干预 股骨颈骨折 平衡能力 

分 类 号：R473.6[医药卫生—护理学]