教育-恐惧暴露干预对全髋关节置换术后恐动症患者的影响  

Influence of education and exposure intervention in patients with irrational fear of movement after total hip arthroplasty

作　　者：刘婷 马玉容[1] 秦玉静[1] 范筱 刘波[1] Liu Ting;Ma Yurong;Qin Yujing;Fan Xiao;Liu Bo(Department of Orthopedics,Qingdao Municipal Hospital,Qingdao,266071,China)

机构地区：[1]青岛市市立医院骨科,山东青岛266071

出　　处：《护理学杂志》2023年第10期22-26,共5页Journal of Nursing Science

基　　金：国家自然科学基金项目(82205149)。

摘　　要：目的探讨教育-恐惧暴露干预对全髋关节置换术后恐动症患者的影响。方法将96例全髋关节置换术后恐动症患者按住院时间分为对照组和干预组各48例。对照组给予常规护理干预,干预组给予教育-恐惧暴露干预。于患者出院前评价干预效果。结果干预组疼痛数字评分、恐动症评分显著低于对照组(均P<0.05);髋关节功能评分、一般自我效能感评分及出院准备度评分显著高于对照组(均P<0.05)。结论教育-恐惧暴露干预可降低全髋关节置换术后患者恐动症程度,缓解术后疼痛,提高自我效能感及出院准备度,促进髋关节功能恢复。Objective To explore the effect of educational and exposure therapy in the patients with kinesiophobia after total hip replacement.Methods Ninety-six patients with kinesiophobia after total hip arthroplasty were divided into control group(n=48)and intervention group(n=48).The control group was given routine nursing intervention,and the intervention group was given education fear exposure intervention.The effect of intervention was evaluated before discharge.Results The scores of numerical rating scale and tampa scale of kinesiophobia in the intervention group were significantly lower than those in the control group(P<0.05 for both),while the scores of harris hip score,general self-efficacy scale and readiness for hospital discharge scale were significantly higher than those in the control group(P<0.05 for all).Conclusion Education fear exposure intervention can reduce the incidence of kinesiophobia in patients after total hip replacement,relieve postope-rative pain,improve self-efficacy and discharge preparation,and promote the recovery of hip joint function.

关 键 词：髋关节置换术 恐动症 教育-恐惧暴露干预 疼痛 自我效能感 出院准备度 护理 

分 类 号：R473.6[医药卫生—护理学]