| 王 瑀,刘 彤,任国静.老年股骨粗隆间骨折患者术前心理压力与术后早期康复、
认知功能及睡眠质量的关系研究[J].现代生物医学进展英文版,2025,(3):575-582. |
| 老年股骨粗隆间骨折患者术前心理压力与术后早期康复、
认知功能及睡眠质量的关系研究 |
| Study on the Relationship between Preoperative Psychological Stress and Early Postoperative Rehabilitation, Cognitive Function and Sleep Quality in Elderly Patients with Intertrochanteric Fracture of Femur |
| Received:November 15, 2024 |
| DOI：10.13241/j.cnki.pmb.2025.03.023 |
| 中文关键词: 老年 股骨粗隆间骨折 术前心理压力 早期康复 认知功能 睡眠质量 |
| 英文关键词: Elderly Intertrochanteric fracture of femur Preoperative psychological stress Early postoperative rehabilitation Cognitive function Sleep quality |
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| 中文摘要: |
| 摘要 目的：探讨老年股骨粗隆间骨折（ITF）患者术前心理压力与术后早期康复、认知功能及睡眠质量的关系。方法：选取2022年5月~2024年3月于我院接受手术治疗的89例老年ITF患者，根据焦虑自评量表（SAS）和抑郁自评量表（SDS）评分将患者分为低压力组（46例）和高压力组（43例）。收集两组临床资料，并对比两组术后首次下地时间、总住院时间。术后1个月，采用匹兹堡睡眠质量指数（PSQI）和简易智能精神状态检查量表（MMSE）评估两组睡眠质量和认知功能。采用Pearson法分析老年ITF患者术前心理压力与睡眠质量、认知功能的相关性。结果：低压力组术前SAS、SDS评分均显著低于高压力组（P＜0.05）。低压力组术后首次下地时间、总住院时间均显著短于高压力组（P＜0.05）。低压力组术后1个月PSQI评分显著低于高压力组，而MMSE评分显著高于高压力组。Pearson法分析结果显示，老年ITF患者术前SAS、SDS评分与PSQI评分均呈正相关，与MMSE评分均呈负相关（P＜0.05）。结论：老年ITF患者术前心理压力可影响患者的术后早期康复、认知功能及睡眠质量，术前心理压力较高的患者术后早期康复时间延长，认知功能下降，睡眠质量降低。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the relationship between preoperative psychological stress and early postoperative rehabilitation, cognitive function and sleep quality in elderly patients with intertrochanteric fracture of femur (ITF). Methods: 89 elderly patients with ITF who underwent surgical treatment in our hospital from May 2022 to March 2024 were selected, the patients were divided into low pressure group (46 cases) and high pressure group (43 cases) according to the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS). The clinical data in two groups were collected, and the first postoperative ambulation time and total hospitalization time were compared between two groups. 1 month after operation, the Pittsburgh Sleep Quality Index (PSQI) and Mini-Mental State Examination (MMSE) were used to evaluate the sleep quality and cognitive function in two groups. The correlation between preoperative psychological stress and sleep quality and cognitive function in elderly patients with ITF was analyzed by Pearson method. Results: The preoperative SAS and SDS scores in low pressure group were significantly lower than those in high pressure group (P<0.05). The time of first landing after surgery, total hospital stay in low pressure group were significantly shorter than those in high pressure group (P<0.05). The PSQI score in low pressure group was significantly lower than that in high pressure group at 1 month after operation, while the MMSE score was significantly higher than that in high pressure group. The results of Pearson analysis showed that, the preoperative SAS and SDS scores of elderly ITF patients were positively correlated with PSQI scores, and negatively correlated with MMSE scores (P<0.05). Conclusion: Preoperative psychological stress in elderly ITF patients can affect early postoperative rehabilitation, cognitive function and sleep quality, patients with higher preoperative psychological stress have longer early postoperative rehabilitation time, lower cognitive function and sleep quality. |
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