全膝关节置换术后恐动的相关因素
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漯河市中心医院

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河南省医学科技攻关计划联合共建项目


Related factors of kinesiophobia after total knee arthroplasty
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Luohe Central Hospital

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Medical science and Technology project of Henan Province

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    摘要:

    [目的] 探讨全膝关节置换术后恐动症发生的相关因素。[方法] 便利抽样方法纳入2020年1月至2021年12月我院行全膝关节置换术患者205例,根据术后是否发生恐动症分为2组,单因素分析2组患者一般资料,随后探讨潜在危险因素与TSK评分之间的相关性。最后采用多元逐步回归分析确定危险因素与恐动症程度之间的关系。[结果] 205例全膝关节置换患者中,36例确诊恐动症,恐动症发生率为17.56%。恐动症组患者术前疼痛持续时间、术前VAS评分、翻修手术比例以及一期双侧置换比例高于非恐动症组;而恐动症组患者文化程度、术前HSS评分、术前KSS临床评分和功能评分、K-SES评分和社会支持评分显著低于非恐动症组,差异有统计学意义(P<0.05)。相关性分析结果显示,文化程度、术前HSS评分、KSS临床评分、K-SES评分及社会支持评分与TSK评分呈负相关;而术前VAS评分及疼痛持续时间与TSK评分呈正相关(P<0.05)。多元逐步回归分析结果表明术前疼痛时间和社会支持评分为影响恐动症发生的相关因素。[结论] 术前疼痛持续时间是全膝关节置换术后恐动症发生的危险因素,且与恐动症程度正相关;社会支持评分是减少恐动症发生的保护因素,且与恐动症程度负相关。

    Abstract:

    [Objective] To investigate the related factors of kinetophobia after total knee arthroplasty. [Methods] A total of 205 patients undergoing total knee arthroplasty in our hospital from January 2020 to December 2021 were enrolled by convenience sampling method. They were divided into two groups according to the occurrence of postoperative kinetophobia. The general data of the two groups were analyzed by single factor analysis, and then the correlation between potential risk factors and TSK score was discussed. Finally, multivariate stepwise regression analysis was used to determine the relationship between risk factors and the degree of kinetophobia. [Results] Among 205 total knee arthroplasty patients, 36 patients were diagnosed with kinetophobia, and the incidence of kinetophobia was 17.56%. The preoperative pain duration, preoperative VAS score, the proportion of revision surgery and the proportion of primary bilateral replacement in patients with mophobia were higher than those in the non-kinetophobia group. The educational level, preoperative HSS score, preoperative KSS clinical score and functional score, K-SES score and social support score of patients in the kinetophobia group were significantly lower than those in the non-kinetophobia group, the differences were statistically significant (P < 0.05). Correlation analysis showed that educational level, preoperative HSS score, KSS clinical score, K-SES score and social support score were negatively correlated with TSK score. The preoperative VAS score and pain duration were positively correlated with TSK score (P < 0.05). Multiple stepwise regression analysis showed that preoperative pain time and social support score were the related factors affecting the development of kinetophobia. [Conclusion] Preoperative pain duration was a risk factor for kinetophobia after total knee arthroplasty, and was positively correlated with kinetophobia degree, while social support score was a protective factor to reduce the incidence of kinetophobia and was negatively correlated with the degree of kinetophobia.

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  • 收稿日期:2022-04-18
  • 最后修改日期:2022-07-20
  • 录用日期:2022-11-07
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