Clinical study of psychological changes and post traumatic stress disorder in elderly patients with hip fracture
10.3760/cma.j.issn.0529-5815.2020.03.008
- VernacularTitle:老年髋部骨折患者的心理变化及创伤性应激障碍的问卷调查分析
- Author:
Xinming FAN
1
;
Zhenggang BI
;
Chunjiang FU
;
Xuming WANG
;
Jilong ZOU
;
Hongjun CHEN
;
Shiming LI
;
Jiabing SUN
Author Information
1. 哈尔滨医科大学附属第一医院骨科 150001
- Keywords:
Osteoporosis;
Hip fracture;
Elderly;
Psychological state assessment;
Influencing factors
- From:
Chinese Journal of Surgery
2020;58(3):209-212
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the psychological state and affected factors of elderly patients with hip fractures.Methods:A retrospective analysis of 156 elderly hip fracture patients(>65 years) admitted to the Department of Orthopaedics, the First Affiliated Hospital of Harbin Medical University from January 2016 to August 2019 was performed. General and psychological information were collected by questionnaire.General information included age, gender, education, whether surgery, length of stay.SCL-90, a self-assessment scale, was chosen as the psychological test to analyzed the elderly hip fracture patients′ psychological status during hospitalization and the norms of SCL-90 in Chinese which were established in 1986 were used as the control group. The prognostic factors were examined by univariate and multivariate analysis.Results:Somatization, interpersonal sensitivity, depression, anxiety, paranoid factor scores, and total scores of the elderly hip fracture patients were significantly higher than control group(all P=0.00).Univariate analysis and logistic regression analysis showed that non-surgery treatment and more than 10 days of hospitalization were independent prognostic factors that affected the psychological state of elderly hip fracture patients (all P=0.00). Conclusion:Elderly patients hospitalized with osteoporosis and hip fractures are prone to have negative emotional and psychological changes.The length of hospitalization and the choice of treatment can affect patients′ psychological state, suggesting that effective psychological intervention is necessary.
