perma积极心理干预对人工髋关节置换术患者术后心理状态及创伤后成长的影响

Influence of perma positive psychological intervention on postoperative psychological status and post-traumatic growth in patients with artificial hip arthroplasty

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

淮安市第一人民医院骨科

摘要
【摘要】 目的 探讨perma积极心理干预对人工髋关节置换术(hip arthroplasty,HA)患者术后心理状态及创伤后成长的影响。方法 选取本院于2020年3月-2023年3月收治的行HA治疗的98例患者作为研究对象,采用随机号码表法将其分为参照组(n=49)和观察组(n=49),参照组行HA术后常规护理干预,观察组在参照组基础上行perma积极心理干预,护理干预时间均为1个月。比较两组干预前后创伤后成长评定量表(posttraumatic growth inventory,PTGI)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、心理弹性量表(connor-davidson resilience scale,CD-RISC)及后髋关节功能评分。结果 干预后,观察组PTGI各维度人生感悟、与他人关系、自我转变及总评分均高于参照组(P<0.05);与干预后参照组相比,观察组SAS、SDS评分均下调,CD-RISC评分均升高,髋关节功能、疼痛、关节活动度、下肢畸形评分提高(P<0.05)。结论 perma积极心理干预可有效改善HA患者术后心理状态,促进其创伤后成长和关节功能恢复。
Abstract
[Abstract] Objective To explore the influence of perma positive psychological intervention on postoperative psychological status and post-traumatic growth in patients with artificial hip arthroplasty (HA). Methods 98 patients who received HA treatment in the hospital were selected from March 2020 to March 2023 as the research subjects, and were divided into reference group (n=49) and observation group (n=49) by the random number table method. The reference group received routine nursing intervention after HA, whereas the observation group applied perma positive psychological intervention on the basis of the reference group. The time of nursing intervention was 1 month. The scores of Post-Traumatic Growth Inventory (PTGI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Connor-Davidson Resilience Scale (CD-RISC), and hip function were compared between groups before and after intervention. Results After intervention, the scores of dimensions of life perception, relationship with others and self-transformation and total score of PTGI in the observation group were higher than those in the reference group (P<0.05). Compared with the reference group after intervention, the SAS score and SDS score in the observation group were down-regulated while the CD-RISC score was increased, and the scores of hip function, pain, joint mobility and lower limb deformity were enhanced (P<0.05). Conclusion perma positive psychological intervention can effectively improve the postoperative psychological status of HA patients, and promote the post-traumatic growth and joint function recovery.
关键词
【关键词】人工髋关节置换术;perma模式;心理干预;心理状态;创伤后成长
KeyWord
[Key words] Artificial hip arthroplasty; perma model; Psychological intervention; Psychological status; Post-traumatic growth
基金项目
页码 650-653
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郭林. perma积极心理干预对人工髋关节置换术患者术后心理状态及创伤后成长的影响 [J]. 国际精神病学杂志. 2025; 52; (2). 650 - 653.

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