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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:

期数:

2025年04

页码:

201-206

栏目:

关节置换

出版日期:

2025-08-05

文章信息/Info

Title:

Application of pressure vaccination training intervention in patients with irrational fear of movement after total knee arthroplasty

作者:

刘波1; 马玉容2; 范筱3; 刘婷1

266071 康复大学青岛医院（青岛市市立医院）运动医学科1，护理部2，骨关节外科3

Author(s):

Liu Bo1;  Ma Yurong2;  Fan Xiao3;  Liu Ting1

1Department of Sports MedicineOrthopedics, 2Nursing Department, Department of Orthopedics and Joint Surgery, University of Healthy and Rehabilitation Science Qingdao Hospital (Qingdao Municipal Hospital), Qingdao 266071, China

关键词:

压力接种训练;  膝关节置换术;  恐动症; 依从性;  负性情绪

Keywords:

Stress inoculation training;  Total knee arthroplasty;  Irrational fear of movement;  Compliance;  Negative emotions

DOI:

10.3877/cma.j.issn.2096-0263.2025.04.002

文献标志码:

A

摘要:

目的 探讨压力接种训练在全膝关节置换术恐动症患者中的应用效果。方法 前瞻性收集康复大学青岛医院2022年3月至2022年12月行全膝关节置换术且符合纳入及排除标准的患者91例，男性45例，女性46例，平均年龄（67.45±5.87）岁。按住院时间段分为对照组（n=45）和干预组（n=46），对照组给予常规护理干预，干预组给予压力接种训练干预，比较两组干预前后功能锻炼依从性、焦虑、抑郁及恐动症水平的差异。结果 干预后，干预组功能锻炼依从性总分及各维度包括心理方面、主动学习方面及身体方面评分，得分分别为（66.48±3.01）、（36.28±2.38）、（17.18±1.83）、（13.15±2.07），高于对照组（62.89±4.12）、（34.96±2.50）、（15.76±2.88）、（9.65±3.07），差异有统计学意义（t=4.754、2.591、2.799、2.544，均P＜0.05）。干预后，干预组焦虑及抑郁自评量表、恐动症评估简表，得分分别为（41.11±6.28）、（50.17±4.74）、（22.48±5.87），低于对照组（43.36±4.82）、（53.67±6.76）、（29.64±6.14），差异有统计学意义（t=2.279、2.850、5.695，均P＜0.05）。结论 压力接种训练可有效提高患者功能锻炼依从性，降低焦虑、抑郁水平及减少恐动症发生，促进膝关节早期功能恢复。

Abstract:

Objective To explore the effect of pressure vaccination training in patients with irrational fear of movement after total knee arthroplasty. Methods Prospective collection of 91 patients who underwent total knee arthroplasty at University of Healthy and Rehabilitation Science Qingdao Hospital from March 2022 to December 2022 and met the inclusion and exclusion criteria. There were 45 males and 46 females with an average age of (67.45±5.87) years. They were divided into a control group (n=45) and an intervention group (n=46) based on their length of stay. The control group was given routine nursing intervention, and the test group was given pressure vaccination training intervention. The differences of functional exercise compliance, anxiety, depression and phobia between the two groups before and after the intervention were compared. Results After intervention, the total score of functional exercise compliance and various dimensions including psychological, active learning, and physical scores in the intervention group were (66.48 ±3.01), (36.28±2.38), (17.18±1.83), and (13.15±2.07), respectively, higher than those in the control group (62.89±4.12), (34.96±2.50), (15.76±2.88), and (9.65±3.07), with statistically significant differences (t=4.754, 2.591, 2.799, 2.544, all P<0.05). After intervention, the scores of the intervention group on the Self-rating anxiety scale and Self-rating depression scale and Tampa scale of kinesiophobia were (41.11±6.28), (50.17±4.74), and (22.48±5.87), respectively, lower than those of the control group (43.36±4.82), (53.67± 6.76), and (29.64±6.14), with statistically significant differences (t=2.279, 2.850, 5.695, all P<0.05). Conclusion Pressure vaccination training can effectively improve the compliance of patients with functional exercise, reduce the level of anxiety and depression, reduce the occurrence of phobia,and promote the early functional recovery of knee joint.

备注/Memo

备注/Memo:

国家自然科学基金（82205149）

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更新日期/Last Update: 2026-04-30