ESPCS干预对膝关节置换术后患者疼痛灾难化认知的影响  

Effect of ESPCS Intervention on Pain Catastrophic Cognition in Patients after Knee Arthroplasty

作　　者：金蕾 蒋松林 陈天艺 吴文波 JIN Lei;JIANG Songlin;CHEN Tianyi;WU Wenbo(Department of Orthopedics,PLA Joint Logistic Support Force 904 Hospital Changzhou Medical District,Changzhou 213003,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇四医院常州医疗区骨科,江苏常州213003

出　　处：《中国医学创新》2025年第11期81-85,共5页Medical Innovation of China

基　　金：中国人民解放军联勤保障部队第九〇四医院院管科研课题(ZD202108,MS202124)。

摘　　要：目的:探讨ESPCS干预对膝关节置换术后患者疼痛灾难化认知的影响。方法:选取2021年5月—2023年12月在中国人民解放军联勤保障部队第九〇四医院常州医疗区骨科接受膝关节置换术的患者60例,根据入院先后顺序分为对照组和观察组。对照组给予常规护理,观察组在常规护理基础上实施ESPCS干预。采用疼痛灾难化量表(PCS)、膝关节功能量表(Lysholm评分)、坦帕运动恐惧量表(Tampa scale for kinesiophobia,TSK)和康复训练依从性量表分别于术后1、3、6个月对两组患者进行评估。结果:干预前,两组患者PCS评分、Lysholm评分、TSK评分和康复训练依从性评分差异均无统计学意义(P>0.05);术后1、3、6个月,观察组患者PCS评分和TSK评分均显著低于对照组,Lysholm评分和康复训练依从性评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论:ESPCS干预能有效减轻膝关节置换术后患者的疼痛灾难化认知,改善膝关节功能和运动恐惧,有利于提升康复依从性,具有临床推广价值。Objective:To investigate the effect of ESPCS intervention on the catastrophic cognition of pain in patients after knee arthroplasty.Method:A total of 60 patients who underwent knee arthroplasty in Department of Orthopedics,PLA Joint Logistic Support Force 904 Hospital Changzhou Medical District from May 2021 to December 2023 were selected and divided into control group and observation group according to the order of admission.The control group was given routine care,and the observation group was given ESPCS intervention on the basis of routine care.The pain catastrophizing scale(PCS),knee function scale(Lysholm score),Tampa scale for kinesiophobia(TSK)and rehabilitation training adherence scale were used to evaluate the two groups at 1 month,3 months and 6 months after surgery,respectively.Result:Before intervention,there were no significant differences in PCS score,Lysholm score,TSK score and rehabilitation training compliance score between the two groups(P>0.05).At 1 month,3 months and 6 months after surgery,the PCS score and TSK score of the observation group were significantly lower than those of the control group,and the Lysholm score and rehabilitation training compliance score were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:ESPCS intervention can effectively reduce the pain catastrophic cognition of patients after knee arthroplasty,improve knee joint function and exercise fear,and is conducive to improving rehabilitation compliance,which has clinical promotion value.

关 键 词：ESPCS 干预 膝关节置换术 疼痛灾难化认知 

分 类 号：R473.6[医药卫生—护理学]