老年患者心理弹性和全髋关节置换术后急性精神障碍的相关性研究

发布时间：2018-07-24 14:32

【摘要】：目的探讨行全髋关节置换术的老年患者术前心理弹性和术后急性精神障碍的相关性。方法笔者自2014-03—2016-03采用便利抽样心理弹性量表对496例60周岁以上的需接受全髋关节置换手术的老年患者进行问卷调查,观察记录术后急性精神障碍的发生情况。结果接受全髋关节置换术的老年患者心理弹性得分为(58.59±8.77)分,低于我国社区老年人(60.17±14.28)分,差异有统计学意义(t=-3.974,P0.001)。术后出现精神障碍21例,未出现精神障碍464例。出现术后精神障碍的老年患者术前心理弹性评分为(48.67±5.651)分,未出现术后精神障碍的为(59.04±8.623)分,术后精神障碍组的心理弹性水平明显低于术后无精神障碍组,差异有统计学意义(t=5.455,P=0.021)。Pearson相关分析结果显示心理弹性和术后急性精神障碍呈负相关(r=-2.410,P0.001)。结论心理弹性较低的老年患者行全髋关节置换术后发生急性精神障碍的概率较高,应引起医护人员重视,可通过增强患者心理弹性来减少术后急性精神障碍的发生。
[Abstract]:Objective to investigate the correlation between preoperative psychoelasticity and postoperative acute mental disorders in elderly patients undergoing total hip arthroplasty. Methods from 2014-03-2016-03, 496 elderly patients over 60 years old who needed to undergo total hip replacement were investigated with convenience sampling Psychoelasticity scale. The incidence of acute mental disorders after operation was observed and recorded. Results the score of psychological elasticity of the elderly patients undergoing total hip replacement was (58.59 卤8.77), which was lower than that of the elderly in the community (60.17 卤14.28). The difference was statistically significant (t = 3.974, P 0.001). Postoperative mental disorders occurred in 21 cases and no mental disorders in 464 cases. The scores of pre-operative and post-operative mental disorders were (48.67 卤5.651), (59.04 卤8.623) and (59.04 卤8.623), respectively. The results of Pearson correlation analysis showed that there was a negative correlation between psychoelasticity and postoperative acute mental disorders (r-2.410, P0.001). Conclusion the elderly patients with low psychoelasticity have a higher probability of acute mental disorder after total hip replacement, which should be paid attention to by medical staff. It can reduce the occurrence of acute mental disorder by enhancing the psychological elasticity of patients.
【作者单位】：上海长征医院关节外科;
【分类号】：R687.4

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