老年膝骨关节炎患者膝关节感知觉受损症状调查及其影响因素

Investigation of Knee Joint Sensory Impairment Symptoms and its Influencing Factors in Elderly Patients with Knee Osteoarthritis

目的:探讨老年膝骨关节炎(KOA)患者膝关节感知觉受损症状调查及其影响因素。方法:选取2022年10月—2023年5月台州市中医院收治的老年KOA患者作为研究对象。采用一般资料调查表、膝关节感知觉受损问卷、疼痛灾难化量表、医院用焦虑及抑郁量表、运动恐惧量表对其进行调查,采用多元线性回归分析老年KOA患者膝关节感知觉受损的影响因素。结果:本研究老年KOA患者膝关节感知觉受损问卷总体为(31.36±2.35)分,各维度均分由高到低依次为躯体活动(15.84±1.77)分、躯体感觉(12.17±1.84)分。不同年龄、关节部位、文化程度的老年KOA患者膝关节感知觉受损问卷得分比较,差异有统计学意义(F=5.367、24.868、5.514,P<0.05)。Pearson相关性分析结果显示,老年KOA患者膝关节感知觉受损问卷总分与疼痛灾难化总分、焦虑得分、抑郁得分、运动恐惧评分均呈正相关(r=0.882、0.816、0.715、0.824,P<0.001)。多元线性回归结果显示,文化程度、关节部位、疼痛灾难化、焦虑、运动恐惧是影响老年KOA患者膝关节感知觉受损的重要因素(t=-5.651、4.126、4.598、4.229、1.367,P<0.05)。结论:老年KOA患者膝关节感知觉受损处于偏高水平,与文化程度、关节部位、疼痛灾难化、焦虑、运动恐惧水平有关,临床应予以重视,制定有针对性的干预方案。

Objective:To investigate the symptoms of knee joint sensory impairment in elderly patients with knee osteoarthritis(KOA)and its influencing factors.Methods:Elderly patients with KOA who were treated in the hospital from October 2022 to May 2023 were selected as the research objects.The general data questionnaire,knee joint perception impairment questionnaire,pain catastrophizing scale,hospital anxiety and depression scale and exercise fear scale were used to investigate them.Multiple linear regression was used to analyze the influencing factors of knee joint perception impairment symptoms in elderly KOA patients.Results:The total score of the knee joint perception impairment questionnaire for elderly KOA patients was(31.36±2.35).The average scores of each dimension from high to low were:physical activity(15.84±1.77),somatosensory(12.17±1.84).There were statistically significant differences in the scores of knee joint perception impairment questionnaire among elderly KOA patients with different ages,joint sites and education levels(F=5.367,24.868,5.514;P<0.05).Pearson correlation analysis showed that the total score of knee joint perception impairment questionnaire in elderly KOA patients was positively correlated with the total score of pain catastrophization,anxiety score,depression score and fear of movement score(r=0.882,0.816,0.715,0.824;P<0.001).The results of multiple linear regression showed that education level,joint site,pain catastrophizing,anxiety and fear of movement were important factors affecting knee joint sensory impairment in elderly KOA patients(t=-5.651,4.126,4.598,4.229,1.367;P<0.05).Conclusion:The knee joint sensory perception impairment of elderly KOA patients is at a high level,which is related to the level of education,joint site,pain catastrophizing,anxiety and fear of movement.Clinical attention should be paid to it and targeted intervention programs should be formulated.