基于“生物-心理-社会”的一体化护理模式改善膝关节韧带损伤患者术后恐动症的效果分析

Effect of“bio-psycho-social”-based integrated nursing model on improving postoperative kinesiophobia in patients with knee ligament injury

目的:探究基于“生物-心理-社会”的一体化护理模式在膝关节韧带损伤患者术后恐动症的应用效果。方法:选取120例膝关节韧带损伤术后恐动症患者作为研究对象,根据治疗方式不同将患者分成常规干预组和一体化干预组,每组各60例,两组干预时间均为患者入院至出院。对比两组患者干预前后的恐动症评分(TSK-17)、康复训练配合度、膝关节功能恢复情况(KSS)及生活质量(SF-36)变化。结果:干预后,两组TSK-16评分均下降(P<0.05),且一体化干预组各项评分及总分均低于常规干预组(P<0.05);两组康复训练配合度均提高(P<0.05),且一体化干预组高于常规干预组(P<0.05);两组膝关节评分均升高(P<0.05),但两组间差异无统计学意义(P>0.05);两组患者SF-36评分均提高(P<0.05),且一体化干预组高于常规干预组(P<0.05);一体化干预组整体护理满意度高于常规干预组(P<0.05)。结论:基于“生物-心理-社会”的一体化护理模式可以有效改善膝关节韧带损伤术患者的运动恐惧心理,提高康复训练配合度,进而利于膝关节功能恢复与生活水平提高,患者满意度高,值得推广应用。

Objective:To explore the application effect of“bio-psycho-social”-based integrated nursing model on postoperative kinesiophobia in patients with knee ligament injury.Methods:120 patients with postoperative kinesiophobia after knee ligament injury were included.They were divided into conventional intervention group and integrated intervention group according to different treatment methods,with 60 cases in each group.The intervention time for both groups was from admission to discharge.The changes in kinesophobia score[Tampa Scale of Kinesophobia-17(TSK-17)],rehabilitation training cooperation,knee function recovery[knee society score(KSS)]and quality of life(SF-36)before and after intervention were compared between the two groups.Results:After intervention,the TSK-16 scores in both groups were decreased(P<0.05),and the scores of various items and total score in integrated intervention group were lower than those in conventional intervention group(P<0.05).The rehabilitation training cooperation in the two groups was risen after intervention(P<0.05),and the cooperation in integrated intervention group was higher than that in conventional intervention group(P<0.05).The knee joint scores were enhanced in both groups(P<0.05),but the differences between the groups were not statistically significant(P>0.05).After intervention,the SF-36 scores were elevated in both groups(P<0.05),and the scores in integrated intervention group were higher compared to conventional intervention group(P<0.05).The overall nursing satisfaction of in integrated intervention group was higher than that of the conventional intervention group(P<0.05).Conclusion:“Bio-psycho-social”-based integrated nursing model can effectively improve the kinesiophobia of patients undergoing knee ligament injury surgery,enhance the rehabilitation training cooperation,and facilitate the recovery of knee function and the improvement of living standards,with high patient satisfaction,and it is worth promoting and applying.