多学科协作全病程管理干预对膝关节置换术后患者恐动症的影响
The Effects of Multidisciplinary Collaborative Whole-Course Management Intervention for Total Knee Arthroplasty Patients with Kinesiophobia
摘要: 目的：探讨多学科协作全病程管理干预对膝关节置换术后患者恐动症的影响。方法：选取2021年3月~2021年12月在青岛大学附属医院收治的120例全膝关节置换术后恐动症患者作为研究对象，随机分为观察组和对照组，每组60例。对照组患者住院期间给予全膝关节置换术护理常规；观察组在对照组的基础上，为患者实施从入院到出院至少连续3个月的多学科协作全病程管理干预方案，比较两组恐动症评估简表中文版评分、疼痛视觉模拟评分(VAS)、美国膝关节协会评分(Knee society score，KSS)、住院天数及住院费用的差异。结果：观察组在干预后，恐动症评分、疼痛评分均低于对照组(P < 0.05)，美国膝关节协会评分高于对照组(P < 0.05)，住院天数及住院费用均低于对照组(P < 0.05)。结论：多学科协作全病程管理干预方案是科学、可靠的，能显著降低全膝关节置换术后患者恐动症程度，缓解术后疼痛，促进膝关节功能恢复。
Abstract: Objective: To investigate the effects of multidisciplinary whole-course management intervention for total knee arthroplasty patients with kinesiophobia. Methods: A total of 120 patients with kinesiophobia after total knee arthroplasty in The Affiliated Hospital of Qingdao University from March 2021 to December 2021 were selected as the research objects, and divided into observation group and control group according to the principle of random comparison, with 60 patients in each group. Patients in control group received total knee arthroplasty nursing routine during hospitalization. On the basis of the control group, patients in the observation group were given a multidisciplinary collaborative intervention program for the whole course of disease management for 3 consecutive months from admission to discharge, and the two groups were compared in terms of scores of Tampa Scale of Kinesiophobia, VAS, Knee Society Score, differences in length of stay and hospitalization expenses. Results: The scores of kinesiophobia and VAS in the observation group were lower than those in the control group (P < 0.05), KSS were higher than those in the control group (P < 0.05), and the length of stay and hospitalization expenses were lower than those in the control group (P < 0.05). Conclusion: Multidisciplinary collaborative whole-course management intervention program is scientific and reliable, which can effectively reduce the incidence of kinesiophobia, relieve postoperative pain and promote the recovery of knee function in patients with total knee arthroplasty.
文章引用：史汶玲, 魏丽丽, 谷如婷, 张小沙, 曹明珠, 杨海利, 米园洁. 多学科协作全病程管理干预对膝关节置换术后患者恐动症的影响[J]. 临床医学进展, 2022, 12(12): 11234-11240. https://doi.org/10.12677/ACM.2022.12121619

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