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热门期刊: 细胞研究(英文版)中华医学杂志(英文版)国际临床研究杂志

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早期系统性心理干预对老年下肢骨折术后合并焦虑抑郁患者心理健康及应激反应水平的影响

Effects of early systematic psychological intervention on mental health and stress response of elderly patients with anxiety and depression after lower limb fracture surgery

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(3)
作者
作者单位

郑州市骨科医院下肢一科 ;

摘要
【摘要】目的:研究早期系统性心理干预对老年下肢骨折术后合并焦虑抑郁患者应激反应水平、心理健康状态的影响。方法:选取郑州市骨科医院下肢一科2019年5月至2021年5月期间接受手术治疗的109例老年下肢骨折患者随机分为两组,两组患者术后均给予传统术后管理及康复干预措施,对照组54例给予常规心理疏导,观察组55例患者在对照组基础上增加早期系统性心理干预,对比两组患者心理健康水平、心理韧性、应激反应水平。结果:观察组干预后,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05);观察组干预后,乐观性、力量性、坚韧性评分均高于对照组(P<0.05);观察组干预后,血清皮质醇(Cor)、去甲肾上腺素(NE)、肾上腺素(E)水平均低于对照组(P<0.05)。结论:早期系统性心理干预对老年下肢骨折术后合并焦虑抑郁患者效果确切,能够有效提高患者心理韧性,缓解焦虑抑郁情绪,降低应激反应水平,具有临床推广价值。
[Abstract] Objective: To study the influence of early systematic psychological intervention on stress response level and mental health status of elderly patients with anxiety and depression after lower limb fracture surgery. Methods: A total of 109 elderly patients with lower limb fracture who received surgical treatment from May 2019 to May 2021 in the Lower limb Department of Zhengzhou Orthopaedic Hospital were selected and randomly divided into two groups. Patients in both groups were given traditional postoperative management and rehabilitation intervention measures, while 54 patients in the control group were given conventional psychological counseling. 55 patients in the observation group were added early systematic psychological intervention on the basis of the control group, and the mental health level, mental toughness and stress response level of patients in the two groups were compared. Results: After intervention, the scores of self-rating anxiety Scale (SAS) and self-rating depression Scale (SDS) in observation group were lower than those in control group (P < 0.05). After intervention, the scores of optimism, strength and tenacity in observation group were higher than those in control group (P < 0.05). After intervention, the levels of serum cortisol (Cor), norepinephrine (NE) and adrenaline (E) in observation group were lower than those in control group (P < 0.05). Conclusion: Early systematic psychological intervention has a definite effect on elderly patients with anxiety and depression after lower limb fracture surgery, which can effectively improve patients mental toughness, relieve anxiety and depression, and reduce the stress response level, which has clinical promotion value.
关键词
【关键词】早期系统性心理干预;下肢骨折;焦虑抑郁;心理健康
【 Key words 】 Early systematic psychological intervention; Lower limb fracture; Anxiety and depression; Mental health
基金项目
页码 502-504
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