恐动症早期活动管理方案对老年髋关节置换患者术后康复进程的影响

Effect of early activity management program for kinesiophobia on postoperative rehabilitation of elderly patients with hip arthroplasty

目的探讨恐动症早期活动管理方案在老年髋关节置换术(THA)患者中的应用效果。方法选取2019年10月至2021年10月九江市中医医院收治的THA术后恐动症患者60例作为研究对象,采用随机数字表法分为对照组(30例)和观察组(30例)。对照组采取常规护理,观察组在对照组基础上实施恐动症早期活动管理方案。比较两组患者的恐动症水平、疼痛情况、术后康复情况、髋关节功能和并发症总发生率。结果观察组护理后恐动症评估简表(TSK)评分及视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.05)。观察组术后首次下床活动时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后3个月髋关节功能评分量表(HHS)评分高于对照组,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)。结论恐动症早期活动管理方案能够减轻老年THA患者恐动症状和术后疼痛,减少并发症,促进患者术后康复,有利于髋关节功能早期恢复。

Objective To explore the effect of early activity management scheme of kinesiophobia in elderly patients undergoing hip arthroplasty(THA).Methods A total of 60 patients with postoperative kinesiophobia after THA treated in Jiujiang Hospital of Traditional Chinese Medicine from October 2019 to October 2021 were selected as the research object.They were divided into control group(30 cases)and observation group(30 cases)by random number table method.The control group was given routine nursing care,and the observation group was given the early activity management plan for kinesiophobia on the basis of the control group.The level of kinesiophobia,pain,postoperative rehabilitation,hip function and the total incidence of complications were compared between the two groups.Results After nursing,the scores of tampa scale of kinesiophobia(TSK)and visual analogue scale in the observation group were lower than those in the control group,with statistical significances(P<0.05).The first time out of bed activity time and hospital stay in the control group were shorter than those in the control group,with statistical significances(P<0.05).The score of hip function scale(HHS)in the observation group was higher than that in the control group 3 months after operation,with statistical significance(P<0.05).The total incidence of complications was lower than that in the control group,with statistical significance(P<0.05).Conclusion The early activity management scheme of kinesiophobia can reduce the kinesiophobia symptoms and postoperative pain of elderly THA patients,reduce complications,promote the postoperative rehabilitation of patients,and is conducive to the early recovery of hip function.