中国健康心理学杂志2019，Vol.27Issue(2)：177-181,5.DOI:10.13342/j.cnki.cjhp.2019.02.005
强化自我管理对老年骨质疏松症骨折髋关节置换术后假体松动并发症和心理状态的影响
Effects of strengthened self-management on prosthetic loosening complication and psychological status in elderly patients with osteoporosis fractures after hip replacement
摘要
Abstract
Objective:To explore the effects of strengthened self-management on prosthetic loosening complication and psychological status in elderly patients with osteoporosis fractures after hip replacement.Methods:A total of2, 400 elderly patients with osteoporosis fractures undergoing elective hip replacement in our hospital from February2012 to February 2017 were randomly divided into the observation group (n=1200) and the control group (n=1200) .The control group was given routine nursing intervention, and the observation group was combined with strengthened self-management intervention.The self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, self-management behaviors scores, Harris score, Barthel index (BI) and World Health Organization Quality of Life Scale-Brief Form Questionnaire (WHOQOL-BREF) score were compared between the two groups before and after intervention, and the complications were recorded in the two groups.Results:After intervention, the scores of SAS and SDS in the observation group were significantly lower than those in the control group (t=-7.716, -7.677;P<0.001) .The self-management behaviors scores of diet, treatment, physical activity and social psychology in the observation group after intervention were significantly higher than those in the control group (t=7.606, 7.348, 7.997, 7.481;P<0.001) .The Harris score and BI index in the observation group after intervention were significantly higher than those in the control group (t=6.097, 7.354;P<0.001) .After intervention, the every items scores of WHOQOL-BREF in the observation group were significantly higher than those in the control group (t=7.174, 7.587, 8.430, 7.500, 8.440, P<0.001) .The incidence rates of complications such as infection, venous thrombosis, joint dislocation, pressure ulcer and prosthetic loosening in the observation group were significantly lower than those in the control group (χ2=4.318, 3.893, 7.501, 4.341, 7.533, P<0.05) .Conclusion:Strengthened self-management intervention for elderly patients with osteoporosis fractures after hip replacement can significantly improve the psychological status, self-management ability and daily living ability of patients, and promote postoperative recovery of joint function, and it has low risk of postoperative prosthesis loosening and other complications.关键词
自我管理/骨质疏松症骨折/髋关节置换术/假体松动/心理状态Key words
Self-management/Osteoporosis fractures/Hip replacement/Prosthetic loosening/Psychological status分类
医药卫生引用本文复制引用
王苏..强化自我管理对老年骨质疏松症骨折髋关节置换术后假体松动并发症和心理状态的影响[J].中国健康心理学杂志,2019,27(2):177-181,5.基金项目
国家自然科学基金资助项目(编号:81603471) （编号:81603471）
