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(Effects of early rehabilitation training and psychological intervention on physical and mental health of patients undergoing replacement of total hip) [Chinese - simplified characters]
Yan B-P
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2005 Dec 28;9(48):46-48
clinical trial
5/10 [Eligibility criteria: No; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To observe the early rehabilitation and psychological intervention on total hip replacement patients with psychological and functional recovery of. METHODS: 2003 to 2001/2004 to 2006 coke group of the Second Branch of the Central Hospital orthopedic firms Total hip replacement In 66 cases. Will be 66 cases of artificial hip replacement patients were randomly divided into rehabilitation group and control group of 33 cases. Rehabilitation group Except for routine health care, the use of self-rating anxiety scale (SDS) and depression self-rating scale (SAS) to the questionnaire survey of patients with mental state, the system developed the physical and psychological recovery measures, early comprehensive rehabilitation training control group used the same questionnaire for psychological evaluation after treatment by conventional care. The two of the indicators (mental state assessment results, pain, walking function, range of motion) for statistical analysis. RESULTS: two groups of SDS, SAS evaluation results of the difference was not significant (p > 0.05), but the psychological intervention before and after the rehabilitation group SDS, SAS results difference was significant (psychological intervention before and after the SDS, respectively 53.6 +/- 11.8, 42.8 +/- 8.5 points, t = 4.49, p < 0.01; psychological intervention before and after the SAS, respectively 50.2 +/- 9.2, 42.0 +/- 6.3 points, t = 3.52, p < 0.01). Two groups of patients with pain difference was significant (Chi2 = 8.16, p < 0.05), rehabilitation group than the control group. Two groups were walking function difference was significant (Chi2 = 13.33, p < 0.01), rehabilitation group than the control group. Joint activities in the two groups of score difference was significant (Chi2 = 36.64, p < 0.001), rehabilitation group than the control group. CONCLUSION: The early rehabilitation training With psychological intervention to be effective in improving rehabilitation treatment, and promote the physical and mental health patients.

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