保护动机理论干预模式对全膝关节置换术恐动症患者的影响

目的:探讨保护动机理论干预模式对全膝关节置换术恐动症患者的影响。方法:回顾性分析2023年3月~2023年9月在福州市第二总医院接受全膝关节置换术的100例患者,根据入院时间分为两组,2023年3月~2023年6月收治的50例患者纳入对照组,2023年7月~2023年9月收治的50例患者纳入观察组,两组患者各有1例失访,最终两组患者均有49例,对照组术后采用常规干预措施,观察组于常规干预基础采用保护动机理论干预模式,比较两组患者的康复锻炼依从性、Lysholm评分,一般自我效能感量表(GSES)评分,恐动症(TSK)评分以及并发症。结果:干预前,两组患者的康复锻炼依从性、Lysholm评分,GSES评分,TSK评分对比,差异无统计学意义,(P>0.05)。干预后,两组患者的TSK评分低于干预前,观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的康复锻炼依从性,Lysholm评分,GSES评分高于干预前,观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:保护动机理论干预模式可以减轻全膝关节置换术患者的恐动症程度,使患者的康复锻炼依从性及运动自我效能提高,降低术后并发症,进而促进患者术后膝关节功能恢复。

Objective:To investigate the effect of the Protection Motivation Theory(PMT)intervention model on kinesiophobia in patients undergoing total knee arthroplasty(TKA).Methods:A retrospective analysis was conducted on 100 patients who underwent TKA at Fuzhou Second General Hospital between March 2023 and September 2023.Based on admission dates,50 patients admitted between March 2023 and June 2023 were included in the control group,and 50 patients admitted between July 2023 and September 2023 were included in the observation group.Each group had one patient lost to follow-up,resulting in 49 patients per group for the final analysis.The control group received conventional postoperative interventions,while the observation group received the PMT intervention model in addition to conventional care.The study compared rehabilitation exercise compliance,Lysholm scores,General Self-Efficacy Scale(GSES)scores,Tampa Scale for Kinesiophobia(TSK)scores,and complication rates between the two groups.Results:Before the intervention,there were no statistically significant differences between the two groups in terms of rehabilitation exercise compliance,Lysholm scores,GSES scores,and TSK scores(P>0.05).After the intervention,TSK scores in both groups were lower than before the intervention,with the observation group showing significantly lower TSK scores compared to the control group(P<0.05).Additionally,rehabilitation exercise compliance,Lysholm scores,and GSES scores in both groups were higher than before the intervention,with the observation group showing significantly higher scores compared to the control group(P<0.05).The complication rate was significantly lower in the observation group compared to the control group(P<0.05).Conclusion:The PMT intervention model effectively reduces kinesiophobia in patients undergoing TKA,enhances their rehabilitation exercise compliance and self-efficacy,reduces postoperative complications,and promotes knee function recovery.