Sullivan Lindsay, Ritter Ellie, Williams Emily, Moley James P, Barker Tyler, Singh Sonal, Carter Jennifer, Patel Jay, Edwards Marcia, Vasileff William K
Division of Health Sciences, School of Health and Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, OH, 43210, USA.
Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
BMC Musculoskelet Disord. 2025 Aug 4;26(1):748. doi: 10.1186/s12891-025-08965-6.
Literature indicates that poor psychological wellbeing can have a negative impact on outcomes following hip surgery. However, limited information is available on psychological interventions for adults with a planned hip surgery. This study describes and synthesizes existing interventions to improve psychological wellbeing in hip surgery patients.
We conducted a search of articles using seven electronic databases: CINAHL, Cochrane Library, Embase, PubMed, PsycINFO, SPORTDiscus, and Web of Science. We included all original studies (n = 12) investigating psychological interventions for adults with a planned hip surgery or recovering from hip surgery.
Most articles focused on adults aged > 60 and individuals recovering from total hip arthroplasty (n = 7). The interventions varied in approach, dose, delivery methods, and timing. The most used approach was self-efficacy enhancing interventions (n = 5) followed by patient education (n = 2) and motivation-based interventions (n = 2). Most interventions (n = 9) were delivered post-operatively either in-person or through a combination of in-person and telephone delivery. Two-thirds of the articles (n = 8) evaluated the effectiveness of the intervention in a randomized controlled trial, with studies varying in sample size and outcome measures. In general, results indicated that psychological interventions positively influenced patient-reported outcomes, including functional status and health-related quality of life, following hip surgery.
Psychological interventions were generally found to be helpful in improving psychological wellbeing and patient-reported outcomes, such as functional status and health-related quality of life, following hip surgery. Several gaps in the literature were identified, highlighting the need for further research to strengthen the evidence base for psychological interventions in this population.
文献表明，心理健康状况不佳会对髋关节手术后的结果产生负面影响。然而，关于针对计划进行髋关节手术的成年人的心理干预措施的信息有限。本研究描述并综合了现有的干预措施，以改善髋关节手术患者的心理健康。
我们使用七个电子数据库对文章进行了检索：护理学与健康领域数据库（CINAHL）、考科蓝图书馆、荷兰医学文摘数据库（Embase）、医学期刊数据库（PubMed）、心理学文摘数据库（PsycINFO）、体育与运动科学数据库（SPORTDiscus）和科学引文索引数据库（Web of Science）。我们纳入了所有针对计划进行髋关节手术或髋关节手术后康复的成年人进行心理干预研究的原始研究（n = 12）。
大多数文章关注年龄大于60岁的成年人以及全髋关节置换术后康复的个体（n = 7）。干预措施在方法、剂量、实施方式和时间安排上各不相同。最常用的方法是增强自我效能感的干预措施（n = 5），其次是患者教育（n = 2）和基于动机的干预措施（n = 2）。大多数干预措施（n = 9）在术后通过面对面或面对面与电话相结合的方式实施。三分之二的文章（n = 8）在随机对照试验中评估了干预措施的有效性，研究的样本量和结局指标各不相同。总体而言，结果表明心理干预对髋关节手术后患者报告的结局有积极影响，包括功能状态和与健康相关的生活质量。
一般认为心理干预有助于改善髋关节手术后的心理健康以及患者报告的结局，如功能状态和与健康相关的生活质量。研究发现了文献中的几个空白，突出了进一步研究以加强该人群心理干预证据基础的必要性。
