摘要
目的 调查全髋关节置换术(THA)患者的恐动症现状,分析其影响因素.方法 收集2019年1月至2020年12月在兰溪市人民医院骨关节外科行THA的患者260例.通过查询病历以及向患者询问等途径收集社会学人口资料,采用恐动症Tampa评分表(TSK)(中文版)了解THA患者术后因疼痛而害怕活动的感受,采用视觉模拟评分法(VAS)评估患者术后6、12、24、48 h的疼痛程度,采用医院焦虑抑郁量表(HADS)(中文版)评估THA患者的焦虑抑郁程度.结果 THA术后存在恐动症的患者有102例,占比40%.文化程度、疼痛程度、焦虑和抑郁是THA患者术后恐动症的影响因素(P<0.05).结论 THA患者术后恐动症发生率较高,尤其是文化程度低、疼痛程度高、焦虑及抑郁的患者,应尽早做好术后恐动症的评估、预防及干预,促进患者术后恢复.
Objective To investigate the curent situation of kinesiophobia in patients afer total hip arthroplasty(THA)and analyze its influencing factors.Methods From January 2019 to December 2020,260 patients who underwent THA in the Department of Bone and Joint Surgery of Lanxi People's Hospital were collected.The sociological demographic data by inquiring medical records and asking patients was collected.Tampa scale for kinesiophopia(TSK)(Chinese version)was used to evaluate the feeling of fear of activity due to pain in THA patients ffer operation,and visual analogue scale(VAS)was used to evaluate the degree of pain at 6,12,24 and 48 hours afer operation.Hospital anxiety and depression scale(HADS)(Chinese version)was used to evaluate the degree of anxiety and depresion in THA patients.Results There were 102 patients with kinesiophobia after THA,accounting for 40%.Education level,pain level,anxiety and depression were the influential factors of postoperative kinesiophobia in THA patients(P<0.05).Conclusion The incidence of postoperative activity phobia in THA patients is high,especilly in patients with low education level,high pain degee,anxiety and depresion.The evaluation,prevention and intervention of postoperative activity phobia should be done as soon as possible to promote postoperative recovery of patients.
出处
《浙江临床医学》
2022年第8期1225-1226,1229,共3页
Zhejiang Clinical Medical Journal
关键词
全髋关节置换术
恐动症
影响因素
Total hip arthroplasty
Kinesiophobia
Infuencing factors
