老年股骨颈骨折术后患者心理弹性现状及影响因素分析  

The psychological resilience status and influencing factors of elderly patients with femoral neck frac-tures after surgery

作　　者：单良[1] 刘怡 于涛[1] 徐丽[1] Shan Liang;Liu Yi;Yu Tao;Xu Li(Department of Orthopedics,Beijing Hepingli Hospi-tal,Beijing 100013,China)

机构地区：[1]北京市和平里医院骨科,100013

出　　处：《中华老年骨科与康复电子杂志》2024年第5期294-300,共7页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：北京市和平里医院科研项目任务书(2022-1-21)。

摘　　要：目的探讨老年股骨颈骨折术后患者心理弹性现状及影响因素的影响。方法应用Logistic回归分析2022年5月至2023年5月在我院收治的120例老年股骨颈骨折患者一般资料,其中男56例,女64例,评估患者自杀风险(NGASR)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)、领悟社会支持量表(PSSS)、自我接纳问卷(SAQ)与心理弹性的相关性,并采用R软件(R3.3.2)和软件包rms构建预测老年股骨颈骨折术后患者心理弹性评分降低的列线图模型。结果Pearson检验结果显示,BDI评分与老年股骨颈骨折术后患者心理弹性呈明显负相关(r=0.753,P<0.001),PSSS评分(r=0.819)、SAQ评分(r=0.714)与老年股骨颈骨折术后患者心理弹性呈明显正相关(均P<0.001);多因素Logistic回归分析显示SAQ评分<40分(OR=9.217)、PSSS评分≤60分(OR=12.569)是心理弹性的危险因素(P<0.05),年龄≤70岁(OR=0.533)、大专及以上(OR=0.548)、BDI评分<45分(OR=0.617)是心理弹性的保护因素(P<0.05);根据多因素Logistic回归分析结果构建列线图模型,结果年龄≤70岁为21.23分,非本大专以上学历为18.87分,BDI评分>45分得分为15.53分,PSSS评分≤60分得分为51.43分,SAQ评分<40分得分为39.22分,总分为146.28分。结论PSSS评分≤60分、SAQ评分<40分是影响老年股骨颈骨折患者心理弹性的危险因素,年龄≤70岁、大专及以上文化程度、BDI评分≤45分为保护因素,有利于指导临床上制定个性化干预措施,以改善老年股骨颈骨折患者的心理弹性,提高治疗效果。Objective To explore the psychological resilience status and influencing factors of el-derly patients with femoral neck fractures after surgery.Methods Logistic regression analysis was conduct-ed on the general information of 120 elderly patients with femoral neck fractures admitted to our hospital from May 2022 to May 2023,and the correlation between the Nurses'Global Assessment of Suicide Risk(NGASR),Beck Depression Inventory(BDI),Beck Anxiety Inventory(BAI),Perceived Social Support Scale(PSSS),Self Acceptance Questionnaire(SAQ),and psychological resilience was evaluated.R software(R3.3.2)and software package rms were used to construct predictions for elderly femoral neck fractures.A col-umn chart model of decreased psychological resilience scores in patients after neck fracture surgery.Results The Pearson test results showed that the BDI score was significantly negatively correlated with the psycho-logical resilience of elderly patients with femoral neck fractures after surgery(r=0.753,P<0.001),while the PSSS(r=0.819)and SAQ(r=0.714)were significantly positively correlated with the psychological resilience of elderly patients with femoral neck fractures after surgery(all P<0.001);Multivariate logistic regression analysis showed that SAQ score<40(OR=9.217)and PSSS score≤60(OR=12.569)were risk factors for psychological resilience(P<0.05),while age≤70 years old(OR=0.533),college degree or above(OR=0.548),and BDI score<45(OR=0.617)were protective factors for psychological resilience(P<0.05);Based on the results of multiple logistic regression analysis,a column chart model was constructed.The results showed that age≤70 years old scored 21.23 points,non college education or above scored 18.87 points,BDI score>45 points scored 15.53 points,PSSS score≤60 points scored 51.43 points,SAQ score<40 points scored 39.22 points,and the total score was 146.28 points.Conclusions PSSS score≤60 points and SAQ score<40 points are risk factors affecting the psychological resilience of elderly patients with femoral neck fr

关 键 词：股骨颈骨折 心理弹性 LOGISTIC回归分析 影响因素 列线图模型 

分 类 号：R687.3[医药卫生—骨科学]