股骨头坏死全髋关节置换术后脱位患者自我怜悯状况及其影响因素分析  

Analysis of self compassion status and influencing factors in patients with luxatio nelatoni after total hip arthroplasty due to femoral head necrosis

作　　者：许梦瑶 王金良[1] Xu Mengyao;Wang Jinliang(The Second Ward of Joint Department,Zhengzhou Orthopedics Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州市骨科医院关节二科,河南郑州450000

出　　处：《齐齐哈尔医学院学报》2025年第6期591-596,共6页Journal of Qiqihar Medical University

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20220894)。

摘　　要：目的分析股骨头坏死全髋关节置换术(THR)后脱位患者自我怜悯状况,并分析其影响因素。方法选择2021年1月—2023年12月本院收治的90例股骨头坏死THR后脱位患者作为研究对象,采用便利抽样法,行THR治疗且术后脱位的股骨头坏死患者进行横断面研究,设计基线资料调查表收集患者基线资料,采用自我怜悯量表(SCS)评估股骨头坏死THR后脱位患者的自我怜悯状况,并采用多元线性回归模型分析影响SCS评分的相关因素。结果90例股骨头坏死THR后脱位患者SCS评分为(66.57±13.47)分,自我友善评分为(15.24±3.17)分,自我评判评分为(12.87±2.66)分,普遍人性评分为(10.43±2.23)分,孤立评分为(10.06±2.14)分,正念评分为(12.07±2.55)分,过度沉迷评分为(10.39±2.83)分,患者自我怜悯水平处于中等偏下水平;女性、文化程度高中及以下、无家庭支持、无经济来源、心理弹性差的患者SCS评分分别低于男、文化程度大专及以上、有家庭支持、有经济来源、心理弹性好的患者,差异有统计学意义(P<0.05);多元线性回归分析结果显示,女性、文化程度高中及以下、无家庭支持、无经济来源、心理弹性差均是股骨头坏死THR后脱位患者自我怜悯水平中等偏下的危险因素(P<0.05),上述变量可解释总体变异度的30.50%。结论股骨头坏死THR后脱位患者自我怜悯水平处于中等偏下水平,且与性别、文化程度、家庭支持情况、经济来源、心理弹性等因素有关。Objective To analyze the self compassion status of patients with dislocation after total hip replacement(THR)due to femoral head necrosis,and to analyze its influencing factors.Methods Ninety patients with dislocation after THR that due to femoral head necrosis in our hospital from January 2021 to December 2023 were selected as the study objects.Convenience sampling was used to conduct cross-sectional study for patients with femoral head necrosis who underwent THR treatment and postoperative dislocation.A baseline data survey was designed to collect baseline data of patients,and the Self Compassion Scale(SCS)was used to evaluate the self compassion status of patients with femoral head necrosis and postoperative dislocation after THR.Multiple linear regression models were used to analyze the relevant factors affecting SCS scores.Results Of the 90 patients with femoral head necrosis and postoperative dislocation after THR,the SCS score was(66.57±13.47)points,the self friendliness score was(15.24±3.17)points,the self-evaluation score was(12.87±2.66)points,the general humanity score was(10.43±2.23)points,the isolation score was(10.06±2.14)points,the mindfulness score was(12.07±2.55)points,and the excessive addiction score was(10.39±2.83)points.The patient's self compassion level was at a moderate to low level.The SCS scores of female patients,those with high school education or below,no family support,no economic source,and poor psychological resilience were lower than those of male patients,those with college education or above,family support,economic source,and good psychological resilience,with statistical significant differences(P<0.05).The results of multiple linear regression analysis showed that women,education level of high school or below,lack of family support,lack of economic sources,and poor psychological resilience were all risk factors for moderate to low level of self compassion in patients with femoral head necrosis and dislocation after THR(P<0.05).The above variables could explain 30.50%of th

关 键 词：股骨头坏死 全髋关节置换术 术后脱位 自我怜悯 影响因素 

分 类 号：R68[医药卫生—骨科学]