摘要
目的 分析疼痛控制为主的心理干预在慢性骨髓炎伴骨缺损患者中的应用价值.方法 采用随机数字表法将我院95例慢性骨髓炎伴骨缺损患者分组,对照组47例予普通围术期干预,观察组48例予联合以疼痛控制为主的心理干预,对比手术效果、术后疼痛程度、心理状态、睡眠质量及并发症发生率.结果 两组患者术中出血量、切口长度、手术时间、术后骨愈合及负重时间差异无统计学意义(P>0.05);术后24h、48h,观察组疼痛数字评分(NRS)低于对照组(P<0.05);干预30d后,观察组汉密顿抑郁评分(HAMD)、汉密顿焦虑评分(HAMA)及匹茨堡睡眠质量评分(PSQI)低于对照组(P<0.05);术后12月,两组并发症对比无统计学意义(P>0.05).结论 以疼痛控制为主的心理干预有效缓解慢性骨髓炎伴骨缺损患者不良心理状态,减轻疼痛,改善睡眠质量.
Objective To analyze the application value of pain control-based psychological intervention in chronic osteomyelitis complicated with bone defect.Methods 95 patients with chronic osteomyelitis and bone defect in our hospital were divided into groups by random number table method,47 patients in the control group received peri-operative intervention,and 48 patients in the observation group received psychological intervention focusing on pain control.Postoperative pain level,psychological status,sleep quality and complication rate were compared between two groups.Results There was no significant dfference in intraoperative blood loss,incision length,operation time,postoperative bone healing and weight-bearing time between the two groups(P>0.05).After 30 days of intervention the Hamilton Depression Score(HAMD),Hamilton Anxiety Score(HAMA)and Pittsburgh Sleep Quality Score(PSQI)in the observation group were lower than those in the control group(P<0.05).At 12 months after operation,there was no significant difference in complications between the two groups(P>0.05).Conclusion Psychological intervention focusing on pain control can effectively relieve the bad psychological state of patients with chronic osteomyelitis and bone defect,relieve pain and improve sleep quality.
作者
张航航
冯卫华
谢若菲
ZHANG Hanghang;FENG Weihua;XIE Ruofei(Henan Luoyang Orthopaedic Hospital(Henan Orthopaedic Hospital),Luoyang 471000,China)
出处
《国际精神病学杂志》
2023年第4期868-871,共4页
Journal Of International Psychiatry
基金
2019年洛阳市科技计划医疗卫生项目(编号:1930008A)。
关键词
疼痛控制
心理干预
慢性骨髓炎
骨缺损
睡眠
Pain control
Psychological intervention
Chronic osteomyelitis
Bone defect
Sleep
