协同护理联合心理强化干预在老年全膝关节置换术后恐动症患者中的应用效果  

Effect of collaborative nursing combined with psychological intensification intervention in elderly patients with fear of movement after total knee arthroplasty

作　　者：袁珍珍 李方方 YUAN Zhenzhen;LI Fangfang(The First Ward of Department of Orthopedics,Caoxian People's Hospital,Heze,Shandong 274400,China)

机构地区：[1]曹县人民医院骨外科一病区,山东菏泽274400

出　　处：《医药前沿》2025年第1期126-128,132,共4页Journal of Frontiers of Medicine

摘　　要：目的观察协同护理联合心理强化干预在老年全膝关节置换术(TKA)后恐动症患者中的应用效果。方法选取2022年12月—2023年12月曹县人民医院收治的老年TKA术后恐动症患者60例,采用随机数字表法分为对照组和观察组各30例。对照组采用常规护理,观察组采用协同护理联合心理强化干预。比较两组恐动症程度、膝关节功能恢复情况及并发症发生情况。结果护理前,两组恐动症评估简表(TSK-11)评分、纽约特种外科医院(HSS)评分比较,差异均无统计学意义(P>0.05)。护理1个月后,两组TSK-11评分均低于护理前,且观察组低于对照组;两组HSS各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论协同护理联合心理强化干预能够缓解老年TKA患者恐动症程度,降低并发症发生率,促进其膝关节功能恢复。Objective To observe the application effect of collaborative nursing combined with psychological intensification intervention in elderly patients with fear of movement after total knee arthroplasty(TKA).Methods A total of 60 elderly patients with fear of movement after TKA admitted to Caoxian People's Hospital from December 2022 to December 2023 were selected and divided into the control group and the observation group by random number table method,with 30 cases in each group.The control group received conventional nursing,while the observation group received collaborative nursing combined with psychological intensification intervention.The degree of fear of movement,functional recovery of knee joint and the occurrence of complications were compared between the two groups.Results Before nursing,there were no significant differences in the scores of the Tampa Scale for Kinesiophobia-11(TSK-11)and the scores of each dimension of the Hospital for Special Surgery(HSS)between the two groups(P>0.05).After 1 month of nursing,the TSK-11 scores in both groups were lower than those before nursing,and those in the observation group were lower than those in the control group;the scores of HSS in both groups were higher than those before nursing,and those in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusions Collaborative nursing combined with psychological intensification intervention can relieve the degree of fear of movement and reduce the incidence of complications in elderly TKA patients,and promote their functional recovery of knee joint.

关 键 词：全膝关节置换术 恐动症 协同护理 心理强化干预 

分 类 号：R473[医药卫生—护理学]