[1]信鸿杰,王琳,申雅文,等.全膝关节置换术后患者被动锻炼下恐动症及相关因素的调查[J].中华老年骨科与康复电子杂志,2022,(03):159-164.[doi:10.3877/cma.j.issn.2096-0263.2022.03.006]
　Xin Hongjie,Wang Lin,Shen Yawen,et al.Investigation of hypokinesia and related factors in patients with passive knee exercise after total knee arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(03):159-164.[doi:10.3877/cma.j.issn.2096-0263.2022.03.006]
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全膝关节置换术后患者被动锻炼下恐动症及相关因素的调查()
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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:
2022年03期
页码:
159-164
栏目:
关节置换
出版日期:
2022-06-05

文章信息/Info

Title:
Investigation of hypokinesia and related factors in patients with passive knee exercise after total knee arthroplasty
作者:
信鸿杰1; 王琳2; 申雅文1; 李林春3; 曹燕茹3; 李瑾萱3
010059 呼和浩特，内蒙古医科大学第二附属医院护理部1，关节外科2；010059 呼和浩特，内蒙古医科大学护理学院3
Author(s):
Xin Hongjie1;  Wang Lin2;  Shen Yawen1;  Li Linchun3;  Cao Yanru3;  Li Jinxuan3. 1Department of Nursing
2Department of Joint Surgory, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, China; 3Nursing School, Inner Mongolia Medical University, Hohhot 010050, China
关键词:
关节成形术; 置换; 膝;  恐动症;  影响因素;  疼痛
Keywords:
Arthroplasty;  replacement;  knee;  Dysphoria;  Influencing factors;  Pain
DOI:
10.3877/cma.j.issn.2096-0263.2022.03.006
文献标志码:
A
摘要:
目的 调查全膝关节置换术（TKA）后患者的恐动情况，以明确全膝关节置换术后恐动症的发生率。并通过对患者焦虑及疼痛评估确定其影响因素，为恐动症的进一步研究提供参考依据。方法 便利抽样选取2018年9月至2019年4月在内蒙古医科大学第二附属医院行TKA治疗的患者300例作为研究对象。采用自编的一般资料调查问卷、恐动症TSK评分表、社会支持评定量表等问卷对其进行调查，并且通过单因素和Logistic回归分析其影响因素。结果 所有患者中男性143例，女性157例，年龄45～83岁，平均（62±9）岁；139例患者（46.33%）存在恐动症，其TSK得分平均为（36±11）分。多重线性回归分析结果表明：受教育程度（标准回归系数=-0.345，P＜0.01）与疼痛年限（标准回归系数=-0.276，P＜0.01）为主要影响因素。Logistic回归分析结果表明：疼痛年限（OR=5.576，95% CI：2.213，15.453）、文化程度（OR=0.165，95% CI：0.071，0.324）、疼痛（OR=5.417，95% CI：2.203，13.385）及社会支持度（OR=0.560，95% CI：0.376，0.659）是TKA患者有恐动症的主要影响因素。结论 全膝关节置换术患者的恐动症心理与患者的疼痛年限、文化程度、疼痛经历与社会支持密切相关，在患者康复锻炼中应对这些产生恐动心理的因素予以干预，提高康复锻炼的依从性。
Abstract:
Objective To investigate the incidence of convulsions in patients undergoing total knee arthroplasty. Combined with the assessment of patients’ anxiety and pain, the influencing factors are used to provide reference for further research on phobia. Methods 300 patients with TKA treated in the Second Affiliated Hospital of Inner Mongolia Medical University from September 2018 to April 2019 were selected as subjects. Questionnaires were surveyed using a self-compiled general questionnaire, a TK score sheet, and a social support rating scale, and their influencing factors were analyzed by single factor and logistic regression. Results 46.33% of the 300 patients had dysphoria. Logistic regression analysis showed that the pain years (OR=5.576, 95% CI: 2.213, 15.453), education level (OR=0.165, 95% CI: 0.071, 0.324), pain (OR=5.417, 95% CI: 2.203, 13.385) and social support (OR=0.560, 95% CI: 0.376, 0.659) are the main influencing factors for TKA patients with dysphoria. Conclusion It should pay attention to the psychology of patients with total knee arthroplasty, and pay more attention to the patient’s pain years, education level, pain and social support. Encourage patients to exercise rehabilitation exercises as early as possible to reduce the incidence of dysphoria. Risk, promote the recovery of knee function and improve the quality of life.

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备注/Memo

备注/Memo:
基金项目：内蒙古医科大学青年创新基金（YKD2018QNCX048）
更新日期/Last Update: 2022-08-03