膝骨关节炎患者恐动行为现状及影响因素分析  

The current situation and influential factors of kinesiophobia in patient with knee osteoarthritis

作　　者：历广招 赵旭[1] 王丽媛[1] 杨丽娟[1] Li Guangzhao;Zhao Xu;Wang Liyuan;Yang Lijuan(Nursing Department,Shandong Provincial Hospital Affiliated to Shandong University,Ji′nan 250000,China)

机构地区：[1]山东大学附属省立医院护理部,济南250000

出　　处：《中国实用护理杂志》2020年第18期1372-1377,共6页Chinese Journal of Practical Nursing

摘　　要：目的:调查膝骨关节炎患者恐动症发生现状并分析其影响因素,为临床实施干预提供依据。方法:使用便利抽样法,选取济南市2所三级甲等医院骨关节科门诊或住院的230例膝骨关节炎患者为研究对象,采用自行设计一般资料调查表、恐动症评分表、疼痛数字评分表、慢性病自我效能感量表、医院焦虑抑郁量表为研究工具,并运用Logistic回归分析恐动症影响因素。结果:共回收有效问卷219份。166例患者发生恐动症,发生率为75.80%(166/219)。Logistic回归分析显示,性别、文化程度、慢性合并症、疼痛、自我效能感水平是膝骨关节炎患者恐动症的主要影响因素(P<0.05)。结论:膝骨关节炎患者恐动症发生率较高,医护人员应重视该人群恐动症状评估,早期识别高危人群,及时开展健康教育,实施相应干预措施,减少恐动症发生。Objective To investigate the current situation of kinesiophobia in patients with knee osteoarthritis and its influencing factors,in order to provide basis for clinical intervention.Methods Totally 230 patients with knee osteoarthritis were selected from 2 tertiary hospital in Ji′nan by convenience sampling method,the self-designed general data questionnaire,Tampa Scale for Kinesiophobia,Numerical Rating Scale,Self-efficacy for Managing Chronic Disease,Hospital Anxiety and Depression Scale were used as research tools.Logistic regression analysis was used to analyze the influencing factors.Results A total of 219 valid questionnaires were collected.Kinesiophobia occurred in 166 patients,with an incidence of 75.80%(166/219).Logistic regression analysis showed that gender,education level,chronic complications,pain and self-efficacy were the main influencing factors of kinesiophobia in patients with knee osteoarthritis(P<0.05).Conclusion The incidence of kinesiophobia in patients with knee osteoarthritis is relatively high,and medical staff should pay attention to the evaluation of kinesiophobia symptoms in this population,early identify the high-risk factors,provide timely health education,implement the appropriate intervention measures to reduce the occurrence of kinesiophobia.

关 键 词：膝骨关节炎 恐动症 影响因素分析 

分 类 号：R473.6[医药卫生—护理学]