中医情志干预联合认知行为疗法对骨质疏松性骨折术后患者心理状态及康复效果的影响OA

Objective To evaluate the effects of a traditional Chinese medicine(TCM)-based emotional intervention combined with cognitive behavioral therapy(CBT)on psychological status and rehabilitation outcomes in patients after surgery for osteoporotic fractures.Methods Eightytwo patients who underwent surgical treatment for osteoporotic fractures from December 2023 to December 2024 were enrolled and randomly assigned(using a random number table)to a control group(n=41)or an intervention group(n=41).The control group received routine postoperative care,while the intervention group received routine care plus a combined TCM-based emotional intervention and CBT program.Outcomes included psychological resilience(Chinese version of the ConnorDavidson Resilience Scale,CD-RISC,including 3 dimensions:Tenacity,strength,and optimism),postoperative recovery indicators(time to first ambulation,time to start active functional exercise,limb swelling resolution time,length of hospital stay),pain intensity(visual analog scale,VAS),diseaserelated knowledge/cognition,and healthpromoting behaviors.Assessments were performed before and after the intervention.Results There were statistically significant differences between the two groups in time to initiation of active functional exercises,time to first ambulation,and length of hospital stay(P<0.05);the times required for all these outcomes were shorter in the intervention group than in the control group.Compared with pre-intervention values,scores for the CD-RISC dimensions of tenacity,strength,and optimism increased in both groups after intervention(P<0.05),and post-intervention scores on these three dimensions were higher in the intervention group than in the control group(P<0.05).Pain intensity(VAS)decreased in both groups after intervention compared with baseline(P<0.05),with the intervention group showing a greater reduction than the control group(P<0.05).Scores for exercise knowledge,calcium-intake knowledge,and awareness of related risk factors increased in both groups after intervention versus baseline(P<0.05),and these scores were higher in the intervention group than in the control group following intervention(P<0.05).Finally,medication adherence,dietary behavior,sun exposure behavior,and exercise behavior scores all increased in both groups after intervention compared with baseline(P<0.05),with the intervention group achieving higher scores than the control group post-intervention(P<0.05).Conclusion Combining a TCMbased emotional intervention with CBT can significantly improve psychological resilience,accelerate postoperative recovery,reduce pain,enhance diseaserelated knowledge,and promote healthier behaviors in patients after surgical treatment for osteoporotic fractures.This combined approach may facilitate overall rehabilitation and recovery.