心理干预对肩关节痛患者心理健康及生活质量的影响  

Impact of psychological intervention on mental health and quality of life of patients with shoulder joint pain

作　　者：海贝贝[1] 徐志华 栗艳华 HAI Beibei;XU Zhihua;LI Yanhua(Operating Room,Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450008,China)

机构地区：[1]河南中医药大学第三附属医院手术室,郑州450008

出　　处：《中国健康心理学杂志》2025年第3期382-386,共5页China Journal of Health Psychology

基　　金：河南省中医药科学研究专项课题(编号:2022ZY2037)。

摘　　要：目的:研究心理干预对肩关节痛患者心理健康及生活质量的影响。方法:选取2020年3月-2022年2月某院诊治的102例肩周炎患者,依据信封法分为对照组与观察组,对照组50例采用常规护理,观察组52例在对照组基础上实施心理干预。对比两组焦虑自评量表(SAS)评分、肩关节评分、抑郁自评量表(SDS)评分、生活质量评分,统计两组患者满意度情况。结果:两组干预前SAS、SDS评分进行对比,差异无统计学意义,两组干预后SDS、SAS评分下降且观察组下降幅度大于对照组(t=8.961,6.095;P<0.01);两组干预前4项肩关节评分比较,差异无统计学差异,干预后肢体活动度评分、肌力评分进行比较,无统计学差异,干预后两组日常生活活动能力、肢体活动度评分及肌力比干预前升高(观察组:t=16.523,15.086,11.774,P<0.01;对照组:t=14.304,13.815,10.697,P<0.01),干预后观察组日常生活活动能力高于对照组患者(t=2.073,P<0.05),干预后两组疼痛评分下降(观察组:t=15.851,对照组:t=14.577;P<0.01),观察组低于对照组患者(t=3.395,P<0.001);干预前两组两项生活质量评分比较无统计学差异,干预后两组健康状况调查表(SF-36)评分、生活质量(GQOLI-74)评分升高(观察组:t=13.665,11.508,对照组:t=10.366,9.067;P<0.01),观察组高于对照组;观察组总满意率为96.15%,对照组总满意率为80.77%,观察组总满意率较对照组患者更高(χ^(2)=4.258,P<0.05)。结论:心理干预可有效促进肩关节痛患者心理健康,缓解患者疼痛程度,改善患者生活质量。Objective:To explore the impact of psychological intervention on mental health and quality of life of patients with shoulder joint pain.Methods:A total of 102 patients with periarthritis of shoulder treated in our hospital from March 2020 to February 2022 were selected and divided into control group and observation group according to the envelope method.50 patients in the control group used routine care,and 52 patients in the observation group gave psychological intervention on the basis of the control group.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),shoulder scores and quality of life scores were compared for the satisfaction of two groups of patients.Results:There was no difference in SAS and SDS scores between two groups before intervention,After the two intervention groups,SDS and SAS scores decreased,and the observation group showed a greater decrease than the control group(t=8.961,6.095;P<0.01).There was no statistically significant difference in the shoulder joint scores of the first four intervention groups(P>0.05),After intervention,there was no statistically significant difference in the scores of limb activity and muscle strength(P>0.05).After intervention,the daily living activity ability,limb activity score,and muscle strength of the two groups increased compared to before intervention(observation group:t=16.523,15.086,11.774;P<0.01;control group:t=14.304,13.815,10.697;P<0.01).After intervention,the daily living activity ability of the observation group was higher than that of the control group patients(t=2.073,P<0.05),and the pain scores of the two groups decreased(observation group:t=15.851;control group:14.577,P<0.01),while the observation group was lower than the control group patients(t=3.395,P<0.001).There was no statistically significant difference in the quality of life scores between the two groups(P>0.05),After intervention,the health status questionnaire(SF-36)scores and quality of life(GQOLI-74)scores of the two groups increased(observation group:t=13.665,11.508;

关 键 词：心理干预 肩关节痛 焦虑自评量表 抑郁自评量表 生活质量 心理健康 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]