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目的:评价全髋关节置换术(THR)患者采用术前心理干预对术后早期髋关节功能恢复的影响。方法:将漯河医学专科学校第二附属医院有心理疾患者70例THR患者,随机分为对照组(35例)和干预组(35例),干预组在常规护理的基础上实施认知行为疗法与放松疗法。采用Harris评分对两组术前及术后1、3、6个月髋关节功能进行比较。结果:术后1、3、6个月对照组评分均较干预组低,差异具有统计学意义(P<0.05)。结论:THR术前心理干预可提高治疗的依从性,减轻患者心理压力,从而对患者术后早期关节功能的恢复有积极作用。
Objective: To evaluate the effect of preoperative psychological intervention on the recovery of early postoperative hip function in patients undergoing total hip arthroplasty (THR). Methods: 70 THR patients with mental illness in the Second Affiliated Hospital of Luohe Medical College were randomly divided into control group (35 cases) and intervention group (35 cases). The intervention group was given cognitive behavioral therapy With relaxation therapy. The Harris score was used to compare the hip function of the two groups before and 1, 3 and 6 months after operation. Results: The score of the control group at 1, 3, and 6 months after operation was lower than that of the intervention group, with significant difference (P <0.05). Conclusion: THR preoperative psychological intervention can improve the compliance of treatment and reduce the psychological pressure of patients, and thus have a positive effect on the recovery of early postoperative joint function.