前交叉韧带重建手术患者的心理反应。

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2025-02-05 Print Date: 2025-05-01 DOI:10.1123/jsr.2023-0169
Airi Naoi, Yasukazu Yonetani, Yoshinari Tanaka, Shuji Horibe
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引用次数: 0

摘要

本研究旨在探讨手术经验、应对及乐观情绪对前交叉韧带重建手术患者情绪的影响。此外,它还检查了年龄、术前情绪和术后情绪之间的关系。64例患者(男性42例,女性22例;年龄范围= 18-51岁)在日本西部一家医院接受ACL重建手术,并在术前和术后完成问卷调查。结果显示,先前ACL重建手术患者的紧张焦虑(P < 0.01)和总情绪障碍(TMD)高于首次手术患者(P < 0.05)。此外,术前评估的紧张焦虑、愤怒敌意、TMD (P < 0.001)、抑郁抑郁、疲劳和精神错乱(P < 0.01)在术后显著降低,术前情绪与术后情绪呈正相关。此外,积极解释与术前TMD呈负相关(P < 0.05),逃避责任与术后TMD呈正相关(P < 0.05)。因此,对于曾经做过ACL重建手术的患者和逃避责任的患者,心理支持可能是必要的。本研究的结果将有助于运动医学专业人员确定与前交叉韧带重建手术患者心理反应相关的几个个体因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological Responses Among Individuals Undergoing Anterior Cruciate Ligament Reconstruction Surgery.

This study elucidated how previous surgery experience, coping, and optimism influenced the mood of patients who underwent anterior cruciate ligament (ACL) reconstruction surgery. Additionally, it examined the relationships among age, preoperative mood, and postoperative mood. Sixty-four patients (n = 42 men, n = 22 women; age range = 18-51 y) who underwent ACL reconstruction surgery at one hospital in western Japan completed questionnaires before and after surgery. Results revealed that patients who underwent previous ACL reconstruction surgery reported higher tension-anxiety (P < .01) and total mood disturbance (TMD) (P < .05) than did patients who underwent primary surgery. Additionally, tension-anxiety, anger-hostility, TMD (P < .001), depression-dejection, fatigue, and confusion (P < .01) assessed before surgery were significantly reduced after surgery, and preoperative mood was positively related to postoperative mood. Furthermore, positive interpretation was negatively related to TMD before surgery (P < .05), and evading one's responsibility was positively related to TMD after surgery (P < .05). Therefore, psychological support might be necessary for patients who underwent previous ACL reconstruction surgery and patients who evade responsibility. The results of this study will help sport medicine professionals identify several individual factors that are related to psychological responses of patients who underwent ACL reconstruction surgery.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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