经微传播途径对老年全髋关节置换术后患者恐动症的影响

The Impact of Micro Transmission on Fear of Movement in Elderly Patients after Total Hip Arthroplasty

摘要: 目的：探讨经微传播途径对老年髋关节置换术后患者恐动症的影响。方法：便利选取郑州市某三甲医院2020年8月~2021年7月期间98例行全髋关节置换术的老年恐动症患者(恐动症Tampa评分得分 > 37分)为研究对象，其中2021年2月~7月入院的49例作为试验组，给予线上线下相结合的经微传播途径的认知行为指导；2020年8月~2021年1月入院的49例作为对照组，给予线下常规指导。比较两组患者术后多个时间点的恐动症评分、功能锻炼依从性得分；比较髋关节功能优良率。结果：两组患者恐动症评分差异具有统计学意义，且干预前、术后1天、术后3天、术后7天，干预组患者恐动症评分低于对照组；两组患者功能锻炼依从性评分差异具有统计学意义，且术后1天、术后3天、术后7天，干预组患者功能锻炼依从性评分高于对照组；干预组髋关节功能优良率高于对照组，差异有统计学意义。恐动症评分、功能锻炼依从性评分、均有随时间变化的趋势(P < 0.05)。结论：经微传播途径的认知行为干预，可降低患者的恐动水平和跌倒风险，减轻术后疼痛，提高功能锻炼依从性，促进髋关节功能的恢复。

Abstract: Objective: To explore the impact of micro transmission on fear of movement in elderly patients after hip replacement surgery. Method: 98 elderly patients with acrophobia who underwent total hip arthroplasty from a tertiary hospital in Zhengzhou City from August 2020 to July 2021 (with a Tampa score of over 37) were selected conveniently as the research subjects. Among them, 49 pa-tients admitted from February to July 2021 were selected as the experimental group, and cognitive behavioral guidance through micro transmission was given through a combination of online and of-fline channels; 49 patients admitted from August 2020 to January 2021 served as the control group and were given offline routine guidance to compare the scores of anxiety disorder and functional exercise compliance between two groups of patients at multiple postoperative time points and compare the excellent and good rates of hip joint function. Results: The difference in anxiety disor-der scores between the two groups of patients was statistically significant, and the anxiety disorder scores of the intervention group were lower than those of the control group before intervention, 1 day after surgery, 3 days after surgery, and 7 days after surgery; the difference in functional exer-cise compliance scores between the two groups of patients was statistically significant, and the in-tervention group had higher functional exercise compliance scores than the control group on the 1st, 3rd, and 7th postoperative days. The excellent and good rate of hip joint function in the inter-vention group was higher than that in the control group, and the difference was statistically signifi-cant. The scores of anxiety disorder and functional exercise compliance showed a trend of change over time (P < 0.05). Conclusion: Cognitive behavioral intervention through micro transmission pathways can reduce patients’ fear level and risk of falls, alleviate postoperative pain, improve functional exercise compliance, and promote the recovery of hip joint function.