会议-遵守-责任-自治干预模式对全髋关节置换术患者恐动症和髋关节功能的影响  

The effects of IARA intervention on kinesiophobia and hip function in patients undergoing total hip replacement

作　　者：宋丹 张艳[1] 李建鹏[1] Song Dan;Zhang Yan;Li Jianpeng(Department of Orthopedics,Tianjin Fifth Central Hospital,Tianjin 300450,China)

机构地区：[1]天津市第五中心医院骨科,300450

出　　处：《中国实用护理杂志》2021年第18期1361-1366,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨会议-遵守-责任-自治(IARA)干预对全髋关节置换术患者恐动症与髋关节功能的影响,为完善全髋关节置换术患者的围手术期护理措施提供依据。方法选取2019年3月至2020年3月行全髋关节置换术的患者136例,按照随机数字表法分为2组,每组68例,对照组按全髋关节置换术常规护理路径进行护理,观察组在常规护理基础上实施IARA干预,对比2组干预前后恐动症评分量表(TSK)评分及Harris髋关节评分。结果观察组术前15 d和术后1 d、7 d、1个月恐动症TSK评分分别为(52.12±8.32)、(43.77±6.05)、(39.55±6.29)、(33.64±5.92)分,对照组分别为(53.54±7.29)、(52.56±5.82)、(46.25±7.33)、(44.73±6.37)分,观察组随着时间下降更加明显(F组间、F时间值分别为31.041、15.094,均P<0.001);观察组术前15 d和术后7 d、1个月Harris髋关节评分分别为(47.57±5.24)、(57.04±6.74)、(85.58±7.22)分,对照组分别为(48.23±6.38)、(53.51±7.24)、(73.32±7.93)分,观察组随着时间提高更加明显(F组间、F时间值分别为30.008、13.034,均P<0.001)。结论IARA干预能够减轻全髋关节置换术患者恐动症严重程度,改善患者术后髋关节功能。Objective To observe the the effects of Incontro,Alleanza,Responsabilita,Autonomia(IARA)intervention on kinesiophobia and hip function in patients undergoing total hip replacement.Methods Totally 136 paitents undergoing total hip replacement in our hospital from Mar 2019 to Mar 2020 were selected and assigned into 2 groups randomly(68 cases each group)according to the random number table.The control group received nursing care according to the routine nursing path of total hip arthroplasty,the observation group was given IARA intervention on the basis of routine nursing.Score of Tampa Scale for Kinesiophobia and Harris Hip Score between the 2 groups were compared before and after intervention.Results The scores of terror in observation group were 52.12±8.32,43.77±6.05,39.55±6.29,33.64±5.92 at before operation,1d,7d,and 1 month after operation;those in control group were 53.54±7.29,52.56±5.82,46.25±7.33,44.73±6.37,respectively;which in observation group decreased more significantly with time(Finter group and Finter time values were 31.041,15.094,P<0.001);the hip function score in observation group at 15 days before operation,7 d,1 month after operation were 47.57±5.24,57.04±6.74,85.58±7.22 respectively,those in control group were 48.23±6.38,53.51±7.24,73.32±7.93;which in observation group increased more significantly with time(Finter group and Finter time values were 30.008,13.034,15.094,P<0.001).Conclusion IARA intervention can reduce the severity of kinesiophobia in patients undergoing total hip replacement,and improve their hip function after surgery.

关 键 词：髋关节置换术 恐动症 康复锻炼 髋关节功能 

分 类 号：R473.6[医药卫生—护理学]