全膝关节置换术患者治疗结果期望潜在剖面分析及影响因素研究  

The research of latent profile analysis of outcome expectations and its influencing factors on total knee arthroplasty patients

作　　者：裴菊红 马同 王兴蕾[3] 杜叶会 豆欣蔓[3] PEI Juhong;MA Tong;WANG Xinglei;DU Yehui;DOU Xinman(School of Nursing,Lanzhou University,Lanzhou 730030,China;Department of Minimally Invasive Spinal Surgery,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Nursing Department,the Second Hospital of Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学护理学院,兰州市730030 [2]甘肃省中医院脊柱微创骨科,兰州市730050 [3]兰州大学第二医院护理部,兰州市730030

出　　处：《护理管理杂志》2024年第8期678-682,共5页Journal of Nursing Administration

基　　金：2022年甘肃省高等学校青年博士基金项目(2022QB-008);兰州大学第二医院“萃英科技创新”计划面上项目(CY2020-MS19)。

摘　　要：目的 分析全膝关节置换术患者治疗结果期望潜在剖面并探讨不同类别的影响因素。方法 采用便利抽样法,选取2022年7月至12月在兰州市两所三级甲等医院骨科收治的拟行全膝关节置换术的患者360例作为研究对象。采用特种外科医院膝关节置换患者期望调查表进行调查,以调查表的17个条目得分为外显指标进行潜在剖面分析。并通过单因素分析、Logistic回归分析探讨结果期望不同潜在剖面的影响因素。结果 全膝关节置换术患者治疗结果期望分为低结果期望组(45.00%)和高结果期望组(55.00%)两个潜在剖面,其影响因素包括年龄、病程和术前焦虑。结论 医护人员应根据患者的类别特征制订个体化、细致化的干预措施,及时修正患者期望水平,避免其过高或过低,提升全膝关节置换患者的满意度,促进功能恢复。Objective To analyze latent profiles of outcome expectations on total knee arthroplasty(TKA)patients and to explore influencing factors of different categories.Methods From July to December 2022,convenience sampling was used to selected a total of 360 patients who planned to undergo TKA in the orthopedics department of two Class A tertiary hospital in Lanzhou as the research object.Hospital for Special Surgery Knee Replacement Expectations Survey(HSS-KRES)were used to investigate,and the 17 items of HSS-KRES scores were used as the explicit indicators for latent profile analysis.Univariate analysis and Logistic regression were used to explore the influencing factors of different latent profiles of outcome expectations.Results The treatment outcome expectations of TKA patients was divided into two latent profiles:low outcome expectation group(45.00%)and high outcome expectation group(55.00%).The influencing factors included age,course of disease and preoperative anxiety.Conclusion The medical staff should develop individualized and detailed intervention measures based on the patient's category characteristics,timely adjust the patient's expected level,avoid it being too high or too low,improve the satisfaction of TKA patients,and promote functional recovery.

关 键 词：关节置换术 膝关节 结果期望 护理 潜在剖面分析 

分 类 号：R473.6[医药卫生—护理学]