老年髋关节置换术后患者觉知压力现状及其影响因素分析  

Analysis of the current status of perceived stress and its influencing factors in elderly patients after hip arthroplasty

作　　者：庞梅芳 王少华[1] 李正 PANG Meifang;WANG Shaohua;LI Zheng(Department of Joint Medicine,Zhengzhou Orthopedic Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州市骨科医院关节科,河南郑州450000

出　　处：《现代医药卫生》2025年第2期324-328,共5页Journal of Modern Medicine & Health

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20210791)。

摘　　要：目的探讨老年髋关节置换术后患者觉知压力现状,并分析其影响因素。方法回顾性收集2021年1月至2024年1月该院完成髋关节置换术治疗的135例老年患者临床资料,术后出院时均接受觉知压力量表(CPSS)评估觉知压力情况,收集患者一般资料,采用多元线性回归分析老年髋关节置换术后患者觉知压力的影响因素。结果135例老年髋关节置换术后CPSS评分为19~50分,平均(38.11±5.59)分;年龄≥80岁、术前髋关节Harris量表评分<70分、文化程度初中及以下、术后重度疼痛患者CPSS评分均高于年龄<80岁、术前髋关节Harris量表评分≥70分、文化程度中专或高中及以上、术后轻中度疼痛患者,差异有统计学意义(P<0.05);经Pearson相关性分析,结果显示,老年髋关节置换术后患者CPSS评分与6条目UCLA孤独感量表(ULS-6)评分、匹兹堡睡眠质量指数(PSQI)评分均呈正相关(r=0.520、0.318);经多元线性回归分析得到线性回归方程:Y=17.101+3.514X_(1)+4.027X_(2)-0.841X_(3)+1.588X_(4)+0.859X_(5)+0.277X_(6),其中回归模型F=27.468,R2=0.563,调整后R2=0.542,年龄≥80岁、术前髋关节Harris量表评分<70分、术后重度疼痛、ULS-6评分高、PSQI评分高均是老年髋关节置换术后觉知压力的影响因素(P<0.05)。结论老年髋关节置换术后患者觉知压力水平较高,年龄、术前髋关节Harris量表评分、术后疼痛程度、ULS-6评分、PSQI评分是老年髋关节置换术后觉知压力高的影响因素。Objective To investigate the current status of perceived stress in elderly patients after hip arthroplasty and to analyze the factors influencing it.Methods A total of 135 elderly patients who completed hip arthroplasty treatment in this hospital from January 2021 to January 2024 were retrospectively collected,and all of them received the Consciousness-Perception Stress Scale(CPSS)to assess their perceptual stress at the time of discharge from the hospital after the operation.The general information of the patients was collected,and the influencing factors of the perceptual stress of the elderly postoperative patients with hip arthroplasty were analyzed by multivariate linear regression.Results The CPSS scores of 135 cases of elderly hip arthroplasty ranged from 19 to 50 scores,with a mean of(38.11±5.59)scores;the CPSS scores of patients with age≥80 years old,preoperative hip Harris Scale score<70 scores,education level junior high school and below,and postoperative severe pain patients were higher than those of patients with age<80 years old,preoperative hip Harris Scale score≥70 scores,education level junior high or high school,education level specialist and above,and postoperative mild-moderate pain patients,and the difference was statistically significant(P<0.05).Pearson correlation analysis showed that CPSS scores of the elderly postoperative hip arthroplasty patients were positively correlated with the 6-entry UCLA Loneliness Scale(ULS-6)scores,and the Pittsburgh Sleep Quality Index(PSQI)scores(r=0.520,0.318);the linear regression equation was obtained by multiple linear regression analysis:Y=17.101+3.514 X_(1)+4.027 X_(2)-0.841 X_(3)+1.588 X_(4)+0.859 X_(5)+0.277 X_(6),in which the regression model F=27.468,R^(2)=0.563,and the adjusted R^(2)=0.542 for age≥80 years,preoperative hip Harris Scale score<70 scores,severe postoperative pain,high ULS-6 score,and high PSQI score were all influential factors for perceived stress after hip arthroplasty in the elderly(P<0.05).Conclusion The level of perceived

关 键 词：髋关节置换术 觉知压力 影响因素 老年 

分 类 号：R687.4[医药卫生—骨科学]