摘要
目的探究基于疼痛日记的早期量化康复训练应用于全膝关节置换术后患者的效果及其对恐动症状、恐惧回避信念、膝关节功能的影响。方法选取郑州市骨科医院微创骨科2021年1月至2022年10月期间收治的104例全膝关节置换术后患者, 采用抽签法分为两组。对照组52例患者给予早期量化康复训练, 观察组52例患者增加基于疼痛日记的个体化疼痛干预。干预前、后利用恐惧回避信念问卷(fear avoidance beliefs questionnaire, FABQ)评估两组患者恐惧回避信念;干预前、后利用恐动症评分(tampa scale of kinesiophobia, TSK)评估两组患者恐动症状;干预前、后借助活动度、最大屈曲度及美国特种外科医院膝关节评分(hospital for special surgery knee score, HSS)比较两组患者膝关节功能恢复情况。结果干预后, 观察组患者FABQ各项评分和TSK评分低于对照组(P<0.05), 膝关节活动度、最大屈曲度、HSS评分高于对照组(P<0.05)。结论利用基于疼痛日记的早期量化康复训练对全膝关节置换术后患者进行干预, 可有效降低其恐惧回避信念和恐动症状, 改善膝关节功能。
Objective To explore the effect of early quantitative rehabilitation training based on pain diary on patients after total knee replacement and its effect on the relief of kinetic symptoms,fear avoidance belief and knee function.Methods A total of 104 patients with total knee arthroplasty from January 2021 to October 2022 in Department of Minimally Invasive Orthopedics,Zhengzhou Orthopaedic Hospital were selected and divided into two groups according to the lottery method.Fifty-two patients in the control group were given early quantitative rehabilitation training,and 52 patients in the observation group were given individualized pain intervention based on the content of pain diary.The fear avoidance beliefs questionnaire(FABQ)and tampa scale of kinesiophobia(TSK)before and after the intervention were compared between the two groups.The range of motion,maximum flexion and hospital for special surgery knee score(HSS)before and after the intervention were compared between the two groups.Results After the intervention,FABQ scores and TSK scores in the observation group were lower than those in the control group(P<0.05),and the range of motion,maximum buckling and HSS scores were higher than those in the control group(P<0.05).Conclusion Early quantitative rehabilitation training based on pain diary can effectively reduce the fear avoidance belief and movement symptoms and improve knee joint function after total knee arthroplasty.
作者
郑亚男
曹海娜
高东霞
Zheng Yanan;Cao Haina;Gao Dongxia(Department of Minimally Invasive Orthopedics,Zhengzhou Orthopaedic Hospital,Zhengzhou 450000,China)
出处
《国际移植与血液净化杂志》
2024年第2期5-8,共4页
International Journal of Transplantation and Hemopurification
关键词
早期量化康复训练
疼痛日记
全膝关节置换术
Early quantitative rehabilitation training
Pain diary
Total knee replacement
作者简介
通信作者:郑亚男,Email:zhengyananjkld@163.com。
