Study on influence and intervention of comprehensive psychological intervention on quality of life of patients after osteonecrosis arthroplasty

doi:10.3969/j.issn.10096493.2015.01.011

Abstract：Objective:To observe the changes of mood,quality of life and hip joint function of osteonecrosis pa-tients after undergoing bioprosthetic total hip arthroplasty and probe into the influence of implementation of comprehensive psychological intervention on negative emotions,hip joint function and quality of life of patients after surgery.Methods:A total of 200 cases of osteonecrosis patients in a three grade A hospital were randomly divided into intervention group and control group,100 cases in each.The patients in control group were qiven routine treatment and nursing;besides that patients in intervention group were given the comprehensive psycho-logical intervention (cognitive change,relaxation training,supportive therapy)aiming at influencing factors of the quality of life.The self rating Anxiety Scale (SAS),Hamilton his rating Depression Scale (HAMD),health survey questionnaire (SF 36),Harris hip function scores care were used to evaluate.Results:The influencing factors of quality of life of patients after osteonecrosis arthroplasty included anxiety,course of disease,educa-tional level,family income and the time of illness;the anxiety and depression level of patients in intervention group after psychological intervention were decreased significantly compared with that in control group(P<0.05), the quality of life was improved(P<0.05),Harris hip joint function score was improved(P<0.05),ambulation time was shortened.Conclusion:To implement comprehensive psychological intervention for osteonecrosis pa-tients undergoing total hip replacement can effectively improve the negative emotion of patients after surgery, shorten hospitalization time,help and promote the rehabilitation of osteonecrosis patients,and enhance their quality of life.