行全膝关节置换术的血友病性关节炎患者基于跨理论模型的疾病管理1例报道  

Disease management of patient with hemophilic arthritis undergoing bilateral total knee arthroplasty based on trans-theoretical model:a case of report

作　　者：安然逊 徐园 王英杰[3] 王钰 朱丽筠 杨旭 尚高鹏 刘佳[3] 李姗姗 李文利 马玉芬[6] AN Ranxun;XU Yuan;WANG Yingjie;WANG Yu;ZHU Liyun;YANG Xu;SHANG Gaopeng;LIU Jia;LI Shanshan;LI Wenli;MA Yufen(Department of Nursing,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Department of Health Care,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Department of Orthopaedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Department of Cardiac Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院护理部,北京100730 [2]中国医学科学院,北京协和医学院,北京协和医院保健医疗部,北京100730 [3]中国医学科学院,北京协和医学院,北京协和医院骨科,北京100730 [4]中国医学科学院,北京协和医学院,北京协和医院心血管外科,北京100730 [5]中国医学科学院,北京协和医学院,北京协和医院消化内科,北京100730 [6]中国医学科学院,北京协和医学院,北京协和医院,北京100730

出　　处：《中华骨与关节外科杂志》2024年第2期165-169,共5页Chinese Journal of Bone and Joint Surgery

基　　金：中央高水平医院临床科研专项基金(2022-PUMCH-A-132)。

摘　　要：A型血友病是罕见的X连锁隐性遗传病,可表现为全身任何部位自发性或轻微创伤后长时间过度出血^([1])。作为下肢重要负重关节的膝关节极易受累^([2])。关节腔内进行性反复出血可引发慢性疼痛、关节畸形,甚至致残,严重降低患者生活质量^([3])。全膝关节置换术(total knee arthroplasty,TKA)是重度血友病性关节炎患者的有效治疗手段^([4])。

关 键 词：血友病性关节炎 全膝关节置换术 跨理论模型 疾病管理 

分 类 号：R684.3[医药卫生—骨科学]