摘要
目的:探讨老年髋部骨折患者产生抑郁、焦虑情绪的原因及心理干预方法。方法:对194例老年髋部骨折患者抑郁、焦虑情绪的发生原因进行分析,并给予2周心理干预,比较干预前后焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分情况。结果:本组患者产生焦虑、抑郁的原因包括无法接受突发意外伤害、康复训练未达到预期效果、疼痛、担心切口裂开、出血、骨折处移位等。本组患者心理干预后主动参与肢体功能锻炼185例,被动参与9例;急躁、发怒等负性情绪明显改善137例,基本改善57例;抑郁、焦虑症状明显减轻143例,有所减轻51例;家属配合159例,基本配合35例。患者干预前后SDS、SAS评分比较差异有统计学意义(P<0.01)。结论:心理干预能显著改善老年髋部骨折患者的抑郁、焦虑情绪,值得临床推广应用。
Objective： To discuss the causes of depression and anxiety of elderly patients with hip fracture and psychological interven- tion methods. Methods ： The causes of depression and anxiety in 194 elderly patients with hip fracture were analyzed, and 2 - week psychological intervention was given to the patients. The scores of Self - rating Anxiety Scale （ SAS ） and Self - rating Depression Scale （ SDS ） were compared before and after the intervention. Results： The causes of anxiety and depression included unacceptable sudden accident, discontentment with desired rehabilitation training outcome, pain and worrying about incision dehiscence, hemorrhage and fracture dislocation. 185 patients actively participated functional exercise of limbs and 9 patients were in passive involvement after psychological interven- tion;137 patients had obvious alleviation of irritability, anger and other negative emotions and 57 patients had basic improvement;depres- sion and anxiety symptoms were relieved in 143 patients and slightly relieved in 51 patients;good coordination of families was got in 159 patients and common coordination in 35 patients. The differences in the comparison of SDS and SAS scores were statistically significant before and after the intervention（P 〈0.01）. Conclusion： The psychological intervention can significantly relieve depression and anxiety of elderly patients with hip fracture.
关键词
心理干预
老年患者
骨折
抑郁
焦虑
Psychological intervention
Elderly patients
Fracture
Depression
Anxiety
