经颅磁刺激联合AI情绪识别对骨科择期手术患者术前焦虑及术后疼痛的干预效果:基于恐惧疾病进展理论OA
Transcranial magnetic stimulation combined with AI—based emotion recognition for preoperative anxiety and postoperative pain in orthopedic elective surgery patients:A study based on the fear of progression theory
目的:本研究旨在探讨经颅磁刺激(TMS)联合AI情绪识别干预对骨科择期手术患者负性情绪、疾病进展恐惧及术后疼痛的影响,为各科择期患者在改善心理状态、缓解恐惧和促进康复方面提供理论依据和实践指导.方法:选取2024年1月至2025年2月在某医院骨科接受择期手术的120例患者作为研究对象.通过随机数字表法将其分为试验组和对照组,每组60例.对照组接受常规骨科护理.试验组则在对照组基础上实施TMS联合AI情绪识别干预.在术前和术后2个月对所有患者进行评估,使用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、疾病进展恐惧量表(IPF)和视觉模拟评分法(VAS)分别评估焦虑、抑郁状态、疾病进展恐惧及疼痛程度,同时记录住院时间及术后2个月内并发症发生情况.结果:两组患者在基线特征上差异无统计学意义(P＞0.05).干预后,试验组的住院时间为3.17±1.01天,较对照组的3.72±1.14天显著缩短(t=-2.80,P＜0.05);焦虑水平(HAMA得分):试验组为18.80±2.96,低于对照组的20.45±5.03(t=-2.19,P＜0.05);抑郁水平(HAMD得分):试验组为18.92±2.65,低于对照组的21.03±2.84(t=-4.22,P＜0.05);疾病进展恐惧(IPF得分):试验组为25.17±6.00,低于对照组的30.07±3.90(t=-5.33,P＜0.05);疼痛程度(VAS得分):试验组为2.83±1.06,低于对照组的4.42±0.93(t=-8.71,P＜0.05);并发症发生率:试验组为1.67％低于对照组的13.33％(x2=4.32,P＜0.05);差异均有统计学意义.结论:经颅磁刺激(TMS)联合AI情绪识别干预可有效缓解骨科择期手术患者的焦虑抑郁情绪,减轻疾病恐惧与疼痛程度,缩短康复周期并降低并发症风险.
Objective:To investigate the effects of transcranial magnetic stimulation(TMS)combined with AI-based emotion recognition intervention on negative emotions,fear of progression,and postoperative pain in patients undergoing elective orthopedic surgery,providing theoretical basis and practical guidance for improving psychological status,alleviating fear,and promoting recovery in elective surgery patients across various specialties.Methods:A total of 120 patients scheduled for elective orthopedic surgery at an affiliated hospital from January 2024 to February 2025 were randomly selected as participants.They were divided into an experimental group and a control group(n=60 each)using a random number table.The control group received routine orthopedic care,while the experimental group received additional TMS combined with AI-based emotion recognition intervention.All patients were assessed pre-operatively and 2 months postoperatively using the Hamilton Anxiety Rating Scale(HAMA),Hamilton Depression Rating Scale(HAMD),Fear of Progression Questionnaire(FoP-Q),and Visual Analog Scale(VAS)to evaluate anx-iety,depression,fear of progression,and pain intensity,respectively.Hospital stay length and complication rates with-in 2 months postoperatively were also recorded.Results:The two groups were comparable at baseline(P＞0.05).Post-intervention,Post-intervention,the experimental group's hospital stay was significantly shorter than that in the control group(t=-2.80,P＜0.05).The anxiety level(HAMA score)was lower in the experimental group than in the control group(t=-2.19,P＜0.05).The depression score(HAMD)was also lower in the experimental group than the control group(t=-4.22,P＜0.05).Additionally,the fear of disease progression(IPF score)was significantly reduced in the experimental group than the control group(t=-5.33,P＜0.05).Pain severity(VAS score)was decreased in the experimental group relative to the control group(t=-8.71,P＜0.05).The incidence of complications was lower in the experimental group(1.67％)than in the control group(13.33％)(x2=4.32,P＜0.05).Overall,multiple indicators in the experimental group were significantly better than in the control group,with statistically significant differences.Conclusion:Transcranial magnetic stimulation(TMS)combined with AI-based emotion recognition intervention can effectively alleviate anxiety and depression,reduce fear of progression and pain intensity,shorten the recovery period,and decline complication risk in patients undergoing elective orthopedic surgery.
王培霞;芦雨;刘琼;吕阳
郑州大学第一附属医院骨科 451191郑州大学第一附属医院骨科 451191郑州大学第一附属医院骨科 451191郑州大学第一附属医院骨科 451191
医药卫生
经颅磁刺激(TMS)AI情绪识别干预骨科择期手术负性情绪
Transcranial magnetic stimulation(TMS)AI-based emotion recognition interventionOrthopedicsElective surgeryNegative emotions
《中国健康心理学杂志》 2026 (4)
514-519,6
河南省高等学校重点科研项目计划(编号:23B320008)
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