认知行为干预降低全膝关节置换后恐动症

发布时间：2018-03-15 04:34

本文选题：关节成形术　切入点：置换　出处：《中国组织工程研究》2017年23期 　论文类型：期刊论文

【摘要】：背景:全膝关节置换后早期康复功能锻炼有助于膝关节的快速康复,而恐动症的存在使患者对运动锻炼产生恐惧和逃避心理,继而影响到膝关节功能的恢复。国外研究证实,认知行为干预能够有效降低患者的恐动程度,目前国内尚无相关研究。目的:探讨认知行为对全膝关节置换后恐动症的干预效果。方法:选择郑州大学第一附属医院骨科2014年3月至2015年1月收治的108例全膝关节置换后恐动症患者作为研究对象,采用随机数字表法分为2组,试验组和对照组各54例。2组患者均接受骨科术后常规的干预及随访,试验组在常规干预的基础上进行认知行为干预。分别于出院日及出院后1,3,6个月评价2组患者的恐动情况及膝关节功能恢复情况,并于出院日比较2组患者的住院时间及总住院费用。结果与结论:(1)试验组患者的恐动症坦帕评分在术后各个时间点上均低于对照组(P0.05);出院日及出院后1个月2组患者的美国膝关节协会评分差异无显著性意义(P0.05),出院后3,6个月时,试验组患者美国膝关节协会评分高于对照组(P0.01),且呈持续增强的趋势;(2)2组患者的住院时间及总住院费用比较,试验组均低于对照组(P0.01);(3)结果表明,认知行为干预能够有效降低全膝关节置换后恐动症患者的恐动程度,缩短住院时间,减少住院相关费用,加快膝关节功能的恢复。
[Abstract]:Background: early rehabilitation exercise after total knee arthroplasty contributes to the rapid recovery of knee joint, while the presence of phobia causes fear and avoidance of exercise in patients, which in turn affects the recovery of knee joint function. Cognitive behavior intervention can effectively reduce the degree of fear, At present, there is no related research in our country. Objective: to investigate the effect of cognitive behavior on action disorder after total knee arthroplasty. Methods: 108 cases of total knee were selected from March 2014 to January 2015 in Department of Orthopaedics, the first affiliated Hospital of Zhengzhou University. The patients with dysphoria after joint replacement were used as research objects. Two groups were randomly divided into two groups. The patients in the test group and the control group received routine intervention and follow-up after orthopedic surgery. Cognitive behavior intervention was carried out on the basis of routine intervention in the trial group. The patients in the two groups were evaluated on the day of discharge and the recovery of knee joint function on the day of discharge and at 1: 3 and 6 months after discharge, respectively. Results and conclusion the Tampa score of Tampa in the test group was lower than that in the control group at all time points after operation, and was lower than that in the control group on the discharge day and one month after discharge. There was no significant difference in the scores of the American knee Association (AKA) between the patients and the patients (P 0.05). At 3 months and 6 months after discharge, there was no significant difference between the two groups. The scores of the American knee Association in the trial group were higher than those in the control group (P 0.01), and the hospitalization time and total hospitalization cost of the two groups were higher than those of the control group (P 0.01). Cognitive behavior intervention can effectively reduce the degree of agitation after total knee arthroplasty, shorten the hospitalization time, reduce the costs associated with hospitalization, and accelerate the recovery of knee joint function.
【作者单位】：郑州大学第一附属医院护理部;郑州大学第一附属医院骨科;郑州大学第一附属医院生殖中心;
【基金】：河南省高等学校重点科研项目计划(16A320051)~~
【分类号】：R473.6

【相似文献】