| 摘要 |
【摘要】目的：探讨心理干预介入椎管内麻醉对老年患者骨科术后焦虑抑郁、精神状态的影响分析。方法：于2020年2月-2023年2月采集医院病例入档，以严格纳排筛选后84例老年骨科手术患者为对象，按入院号机械抽样随机分组为对照组（接受椎管内麻醉联合常规干预）与观察组（接受椎管内麻醉联合心理干预），各组42例；对比两组术前、术后1h、3h、6h、24h、48h的焦虑抑郁程度、精神状况、睡眠质量。结果：干预后，两组焦虑自评量表(Zung-Self- Rating Anxiety Scale, SAS)和抑郁自评量表(Zung-Self-Rating Depression Scale, SDS）评分均降低，其中观察组更低（P＜0.05）；观察组术后1h、3h、6h、24h、48h的简易精神状态检查量表(Mini-Mental State Examination,MMSE)评分均较对照组明显高（P＜0.05）；干预后，观察组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index, PSQI)评分明显低于对照组（P＜0.05）。结论：老年骨科手术患者麻醉中应用椎管内麻醉方式联合心理干预，有利于消除患者术后焦虑抑郁情绪，降低精神异常和睡眠障碍发生风险，促进恢复。
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| Abstract |
Abstract: Objective: To explore the impact of psychological intervention intervention on spinal anesthesia on postoperative anxiety, depression, and mental state in elderly patients undergoing orthopedic surgery. Methods: From February 2020 to February 2023, a total of 84 elderly orthopedic surgery patients who underwent strict inclusion screening were selected and randomly divided into a control group (receiving spinal anesthesia combined with routine intervention) and an observation group (receiving spinal anesthesia combined with psychological intervention) based on their admission number. There were 42 patients in each group; Compare the levels of anxiety and depression, mental state, and sleep quality between the two groups before and 1, 3, 6, 24, and 48 hours after surgery. Results: After intervention, the scores on the Zung Self Rating Anxiety Scale (SAS) and Zung Self Rating Depression Scale (SDS) decreased in both groups, with the observation group having a lower score (P<0.05); The Mini Mental State Examination (MMSE) scores of the observation group at 1 hour, 3 hours, 6 hours, 24 hours, and 48 hours after surgery were significantly higher than those of the control group (P<0.05); After intervention, the Pittsburgh Sleep Quality Index (PSQI) score in the observation group was significantly lower than that in the control group (P<0.05). Conclusion: The use of spinal anesthesia combined with psychological intervention in elderly orthopedic surgery patients can help eliminate postoperative anxiety and depression, reduce the risk of mental disorders and sleep disorders, and promote recovery.
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