全膝关节置换术患者治疗结果期望潜在剖面分析及影响因素研究

The research of latent profile analysis of outcome expectations and its influencing factors on total knee arthroplasty patients

目的 分析全膝关节置换术患者治疗结果期望潜在剖面并探讨不同类别的影响因素。方法 采用便利抽样法,选取2022年7月至12月在兰州市两所三级甲等医院骨科收治的拟行全膝关节置换术的患者360例作为研究对象。采用特种外科医院膝关节置换患者期望调查表进行调查,以调查表的17个条目得分为外显指标进行潜在剖面分析。并通过单因素分析、Logistic回归分析探讨结果期望不同潜在剖面的影响因素。结果 全膝关节置换术患者治疗结果期望分为低结果期望组(45.00%)和高结果期望组(55.00%)两个潜在剖面,其影响因素包括年龄、病程和术前焦虑。结论 医护人员应根据患者的类别特征制订个体化、细致化的干预措施,及时修正患者期望水平,避免其过高或过低,提升全膝关节置换患者的满意度,促进功能恢复。

Objective To analyze latent profiles of outcome expectations on total knee arthroplasty(TKA)patients and to explore influencing factors of different categories.Methods From July to December 2022,convenience sampling was used to selected a total of 360 patients who planned to undergo TKA in the orthopedics department of two Class A tertiary hospital in Lanzhou as the research object.Hospital for Special Surgery Knee Replacement Expectations Survey(HSS-KRES)were used to investigate,and the 17 items of HSS-KRES scores were used as the explicit indicators for latent profile analysis.Univariate analysis and Logistic regression were used to explore the influencing factors of different latent profiles of outcome expectations.Results The treatment outcome expectations of TKA patients was divided into two latent profiles:low outcome expectation group(45.00%)and high outcome expectation group(55.00%).The influencing factors included age,course of disease and preoperative anxiety.Conclusion The medical staff should develop individualized and detailed intervention measures based on the patient's category characteristics,timely adjust the patient's expected level,avoid it being too high or too low,improve the satisfaction of TKA patients,and promote functional recovery.