The impact of mixed group cognitive-behavioral therapy on the psychological and self-care behaviors of elderly patients after total hip replacement surgery
混合团体认知行为疗法对老年全髋关节置换术术后心理、自我护理行为的影响

摘要

目的 观察混合团体认知行为疗法用于老年全髋关节置换术术后患者的有效性。方法 选取2023年10月到2024年10月期间在内蒙古医科大学第二附属医院骨科接受全髋关节置换术治疗的100例老年患者为研究对象。采用随机数字表法将患者分为两组。其中，对照组50例患者进行常规护理，观察组50例患者接受混合团体认知行为疗法。对不同组别患者的心理状态、自我护理行为进行比较。结果 干预前两组在焦虑（Self-Rating Anxiety Scale, SAS）、抑郁（Self-rating depression scale, SDS）、自我护理行为（包含健康责任感、康复训练、症状应对、自我护理知识）得分无显著差异（P>0.05）。干预后，在心理状态方面，观察组SAS和SDS评分均显著低于对照组（P<0.05）。在自我护理行为方面，观察组得分均显著高于对照组（P<0.05）。结论 混合团体认知行为疗法可有效改善老年THA术后患者的心理状态，提高其自我护理行为能力，促进术后康复，提高生活质量。

Abstract

Objective To observe the effectiveness of mixed group cognitive-behavioral therapy in elderly patients after total hip replacement surgery.
Methods 100 elderly patients who underwent total hip replacement surgery in the Orthopedics Department of the Second Affiliated Hospital of Inner Mongolia Medical University from October 2023 to October 2024 were selected as the study subjects. Patients were divided into two groups using a random number table method. Among them, 50 patients in the control group received routine care, while 50 patients in the observation group received mixed group cognitive-behavioral therapy. Compare the psychological state and self-care behavior of patients in different groups.
Results There was no significant difference in the scores of anxiety (SAS), depression (SDS), and self-care behavior (including health responsibility, rehabilitation training, symptom coping, and self-care knowledge) between the two groups before intervention (P>0.05). After intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group in terms of psychological status (P<0.05). In terms of self-care behavior, the observation group scored significantly higher than the control group (P<0.05).
Conclusion   Mixed group cognitive-behavioral therapy can effectively improve the psychological state of elderly THA patients after surgery, enhance their self-care behavior ability, promote postoperative recovery, and improve their quality of life.