老年膝骨性关节炎患者治疗期望及其影响因素分析  

Analysis of treatment expectation and influencing factors in elderly patients with knee osteoarthritis

作　　者：戴卉[1] 张园园[1] 张暐[1] 缪小红[1] 王元红[1] DAI Hui;ZHANG Yuan-yuan;ZHANG Wei;MIAO Xiao-hong;WANG Yuan-hong(Geriatric Department,Jiangsu Provin Traditional Chinese Medicine Hospital,Nanjing 210029,Jiangsu,China)

机构地区：[1]江苏省中医院老年科,江苏南京210029

出　　处：《广东医学》2024年第3期340-344,共5页Guangdong Medical Journal

基　　金：江苏省老年健康科研项目(LX2021004)。

摘　　要：目的探讨老年膝骨性关节炎(knee osteoarthritis,KOA)患者治疗期望及其影响因素。方法将2021年10月至2022年12月180例老年KOA患者作为研究对象,采用可信度/期望问卷(CEQ)中期望量表评估治疗期望,并评估不同人口特征间治疗期望差异;采用多元线性回归分析老年KOA患者治疗期望的影响因素。结果所有老年KOA患者治疗期望得分(16.64±3.00)分,其中年龄>75岁、KOA严重程度Kellgren-Lawrence(KL)为Ⅲ~Ⅳ级、焦虑评分<8分、疼痛灾难化评分<38分者治疗期望得分较年龄60~75岁、KOA严重程度为Ⅰ~Ⅱ级、焦虑评分≥8分及疼痛灾难化评分≥38分者高(P<0.05)。以治疗期望为因变量,年龄、焦虑、KOA严重程度、疼痛灾难化为自变量进行多元线性逐步回归,结果显示,年龄、KOA严重程度与老年KOA患者治疗期望呈正相关(β=0.048、0.992),焦虑、疼痛灾难化与老年KOA患者治疗期望呈负相关(β=-0.272、-0.068)(P<0.05)。结论老年KOA患者治疗期望与年龄、焦虑程度、KOA严重程度及疼痛灾难化有关。Objective To explore the therapeutic expectation and influencing factors of elderly patients with knee osteoarthritis(KOA).Methods A total of 180 elderly patients with KOA from October 2021 to December 2022 were se-lected as subjects.The expectation scale in the credibility/expectation Questionnaire(CEQ)was used to evaluate the treatment expectations,and the differences in treatment expectations among different demographic characteristics were e-valuated.Multiple linear regression was used to analyze the influencing factors of treatment expectation in elderly patients with KOA.Results The treatment expectation score of all elderly KOA patients was 16.64±3.00.Among them,pa-tients aged≥75 years old,KOA severity level Kellgren-Lawrence(KL)of knee functional osteoarthritis severity level I-V,anxiety score<8 points,pain catastrophizing score<38 points were higher than those aged 60-75 years old,KOA severity level I-II,anxiety score≥8 points and pain catastrophizing score≥38 points.With treatment expecta-tion as dependent variable and age,anxiety,KOA severity level and pain disaster as independent variables,multiple line-ar regression was performed.The results showed that age and KOA severity level were positively correlated with treatment expectation in elderly patients with KOA(β=0.048,0.992),anxiety and pain catastrophizing were negatively correlated with treatment expectation in elderly KOA patients(β=-0.272,-0.068)(P<0.05).Conclusion Treatment expec-tations in elderly patients with KOA were associated with age,anxiety,knee function,and pain catastrophization.

关 键 词：膝骨性关节炎 治疗期望 膝关节功能 疼痛灾难化 

分 类 号：R47[医药卫生—护理学] R4[医药卫生—临床医学]