中国健康心理学杂志2026，Vol.34Issue(4)：514-519,6.DOI:10.13342/j.cnki.cjhp.2026.04.007
经颅磁刺激联合AI情绪识别对骨科择期手术患者术前焦虑及术后疼痛的干预效果:基于恐惧疾病进展理论
Transcranial magnetic stimulation combined with AI—based emotion recognition for preoperative anxiety and postoperative pain in orthopedic elective surgery patients:A study based on the fear of progression theory
摘要
Abstract
Objective:To investigate the effects of transcranial magnetic stimulation(TMS)combined with AI-based emotion recognition intervention on negative emotions,fear of progression,and postoperative pain in patients undergoing elective orthopedic surgery,providing theoretical basis and practical guidance for improving psychological status,alleviating fear,and promoting recovery in elective surgery patients across various specialties.Methods:A total of 120 patients scheduled for elective orthopedic surgery at an affiliated hospital from January 2024 to February 2025 were randomly selected as participants.They were divided into an experimental group and a control group(n=60 each)using a random number table.The control group received routine orthopedic care,while the experimental group received additional TMS combined with AI-based emotion recognition intervention.All patients were assessed pre-operatively and 2 months postoperatively using the Hamilton Anxiety Rating Scale(HAMA),Hamilton Depression Rating Scale(HAMD),Fear of Progression Questionnaire(FoP-Q),and Visual Analog Scale(VAS)to evaluate anx-iety,depression,fear of progression,and pain intensity,respectively.Hospital stay length and complication rates with-in 2 months postoperatively were also recorded.Results:The two groups were comparable at baseline(P＞0.05).Post-intervention,Post-intervention,the experimental group's hospital stay was significantly shorter than that in the control group(t=-2.80,P＜0.05).The anxiety level(HAMA score)was lower in the experimental group than in the control group(t=-2.19,P＜0.05).The depression score(HAMD)was also lower in the experimental group than the control group(t=-4.22,P＜0.05).Additionally,the fear of disease progression(IPF score)was significantly reduced in the experimental group than the control group(t=-5.33,P＜0.05).Pain severity(VAS score)was decreased in the experimental group relative to the control group(t=-8.71,P＜0.05).The incidence of complications was lower in the experimental group(1.67％)than in the control group(13.33％)(x2=4.32,P＜0.05).Overall,multiple indicators in the experimental group were significantly better than in the control group,with statistically significant differences.Conclusion:Transcranial magnetic stimulation(TMS)combined with AI-based emotion recognition intervention can effectively alleviate anxiety and depression,reduce fear of progression and pain intensity,shorten the recovery period,and decline complication risk in patients undergoing elective orthopedic surgery.关键词
经颅磁刺激(TMS)/AI情绪识别干预/骨科/择期手术/负性情绪Key words
Transcranial magnetic stimulation(TMS)/AI-based emotion recognition intervention/Orthopedics/Elective surgery/Negative emotions分类
医药卫生引用本文复制引用
王培霞,芦雨,刘琼,吕阳..经颅磁刺激联合AI情绪识别对骨科择期手术患者术前焦虑及术后疼痛的干预效果:基于恐惧疾病进展理论[J].中国健康心理学杂志,2026,34(4):514-519,6.基金项目
河南省高等学校重点科研项目计划(编号:23B320008) （编号:23B320008）
