全膝关节置换术后患者康复自我效能现状及影响因素  

The status quo of postoperative rehabilitation self-efficacy and influencing factors of patients after total knee arthroplasty surgery

作　　者：韩雪 刘云[2] 包倪荣[3] 李莹[3] 孙鸣明[3] 李寅翠 HAN Xue;LIU Yun;BAO Nirong;LI Ying;SUN Mingming;LI Yincui(College of Nursing,Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing210023,China;Center of Cadre Training,General Hospital of Eastern Theater Command,Jiangsu Province,Nanjing210018,China;Department of Orthopedics,General Hospital of Eastern Theater Command,Jiangsu Province,Nanjing210018,China;College of Nursing,Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang550000,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023 [2]东部战区总医院(原南京军区南京总医院)干部训练中心,江苏南京210018 [3]东部战区总医院(原南京军区南京总医院)骨科,江苏南京210018 [4]贵州中医药大学护理学院,贵州贵阳550000

出　　处：《中国医药导报》2020年第15期48-51,共4页China Medical Herald

基　　金：江苏省科技厅社会发展面上项目(BE2015686)。

摘　　要：目的调查全膝关节置换术(TKA)患者术后康复自我效能现状并分析其影响因素。方法采用便利抽样法,选取2018年12月~2019年6月在东部战区总医院就诊的110例TKA患者作为研究对象,采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、髋膝关节康复自我效能量表(SER)进行调查。结果本研究共回收有效问卷104份,有效回收率为94.5%。术后1个月TKA患者康复自我效能总分为(71.68±10.71)分。疼痛、僵硬、功能障碍得分及WOMAC总分与术后康复自我效能呈负相关(r=-0.388、-0.306、-0.651、-0.617,P<0.05)。有无监督训练者,不同合并症个数、术前病程患者康复自我效能总分比较,差异有统计学意义(P<0.05)。术前WOMAC评分、疼痛、监督训练者、术前病程等因素为康复自我效能的影响因素(P<0.05)。结论TKA患者术后康复自我效能整体水平欠佳,并受术前WOMAC评分、病程等因素的影响,医护人员应加强患者术前疾病的监测管理,制订个体化自我效能干预策略,提高康复自我效能水平。Objective To investigate the status quo of postoperative rehabilitation self-efficacy in patients with total knee arthroplasty(TKA)and to analyze the influencing factors.Methods Using the convenience sampling method,a total of 110 patients with TKA who were treated in the General Hospital of Eastern Theater Command from December 2018 to June 2019 were selected as the research object.The Western Ontario and McMaster University Osteoarthritis Index(WOMAC)score and hip and knee self-efficacy for rehabilitation outcome scale(SER)were used for the investigation.Results A total of 104 valid questionnaires were recovered in this study,with an effective recovery rate of 94.5%.The total score of rehabilitation self-efficacy of TKA patients was(71.68±10.71)points 1 month after operation.Pain,stiffness,dysfunction scores and the WOMAC total score were negatively correlated with postoperative rehabilitation self-efficacy(r=-0.388,-0.306,-0.651,-0.617,P<0.05).The total scores of rehabilitation self-efficacy of patients with supervised training or not,different comorbidities and preoperative course were statistically significant(P<0.05).Factors such as preoperative WOMAC score,pain,with supervised training and the duration of preoperative disease were the influencing factors of rehabilitation self-efficacy(P<0.05).Conclusion The overall level of postoperative rehabilitation self-efficacy of TKA patients is not good,and is affected by factors such as preoperative WOMAC score and course of disease.

关 键 词：全膝关节置换术 康复自我效能 西安大略和麦克马斯特大学骨关节炎指数评分 影响因素 

分 类 号：R687.4[医药卫生—骨科学]