全髋关节置换术后恐动症危险因素调查分析  

Analysis of risk factors of kinesiophobia after total hip arthroplasty

作　　者：郑琼 卢佩兰 王艳梅 何美桃 陆婷婷 ZHENG Qiong;LU Peilan;WANG Yanmei;HE Meitao;LU Tingting(Nanning Traditional Chinese Medicine Hospital,Nanning,530001,China)

机构地区：[1]广西南宁市中医医院,530001

出　　处：《护理实践与研究》2021年第21期3176-3180,共5页Nursing Practice and Research

摘　　要：目的探讨全髋关节置换术后患者恐动症的危险因素,为制订相应的护理对策提供参考依据。方法选取2018年3月—2020年3月在医院进行全髋关节置换术的患者120例作为调查对象,采用TSK恐动症评分量表评估,依据术后是否发生恐动症分为病例组与对照组。采用单因素分析和多因素Logistic回归分析确定全髋关节置换术后患者恐动症的独立危险因素。结果120例患者中有20例出现恐动症,单因素分析结果显示,病程、文化程度、自我效能、应对方式、社会支持是全髋关节置换术后患者发生恐动症的危险因素(P<0.05);多因素Logistic回归分析显示,病程、文化程度、自我效能、消极应对、客观支持是全髋关节置换术后患者发生恐动症的独立危险因素(P<0.05)。结论病程长、文化程度低、自我效能差、消极应对、缺乏客观支持是全髋关节置换术后患者恐动症的危险因素,临床应采取合理且有针对性的干预措施,以降低恐动症的发生率。Objective To investigate the risk factors of kinesiophobia in patients after total hip arthroplasty and provide the relavent nursing strategies.Methods A total of 120 patients underwent the total hip arthroplasty in hospital from March 2018 to March 2020 were selected as the investigation subjects.The patients were evaluated by TSK kinetophobia scale and divided into a case group and a control group according to the occurrence of kinetophobia.Univariate analysis and multivariate Logistic regression were used to determine the independent risk factors of kinesiophobia for the patients after total hip arthroplasty.Results There were 20 cases of mophobia among 120 patients in this group.Univariate analysis showed that the course of disease,education level,selfefficacy,coping style and social support were the risk factors of kinesiophobia for the patients after total hip arthroplasty(P<0.05).Multivariate Logistic regression analysis showed that course of disease,education level,self-efficacy,negative coping and objective support were independent risk factors of kinesiophobia after total hip arthroplasty(P<0.05).Conclusion Long course of disease,low education level,poor self-efficacy,negative coping and lack of objective support are the risk factors of motility after total hip arthroplasty.Reasonable and targeted intervention measures should be taken to reduce the incidence of motility.

关 键 词：全髋关节置换术 恐动症 危险因素 防护对策 

分 类 号：R473.6[医药卫生—护理学]