川北医学院学报2025,Vol.40Issue(1) :132-136.DOI:10.3969/j.issn.1005-3697.2025.01.030

基于"Watson关怀理论"的护理模式对全膝关节置换术患者术后恐动症、疼痛及功能恢复的影响

Effect of nursing model based on"Watson's theory of care"on kinesopho-bia,pain and functional recovery in patients undergoing total knee arthro-plasty

张婷 阮仁芝 徐进
川北医学院学报2025,Vol.40Issue(1) :132-136.DOI:10.3969/j.issn.1005-3697.2025.01.030

基于"Watson关怀理论"的护理模式对全膝关节置换术患者术后恐动症、疼痛及功能恢复的影响

Effect of nursing model based on"Watson's theory of care"on kinesopho-bia,pain and functional recovery in patients undergoing total knee arthro-plasty

张婷 1阮仁芝 1徐进1
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作者信息

  • 1. 合肥市第一人民医院关节外科,安徽 合肥 230071
  • 折叠

摘要

目的:探讨基于"Watson关怀理论"的护理模式对全膝关节置换术(TKA)患者术后恐动症、疼痛及功能恢复的影响.方法:选取行TKA治疗的100例患者为研究对象,按照不同护理模式将其分为对照组(n=50)及研究组(n=50).对照组采取常规护理模式;研究组在对照组的基础上采取基于"Watson关怀理论"的护理模式.比较两组患者术后不同时间疼痛情况、恐动程度、膝关节功能及日常生活能力,记录术后5 d并发症发生情况.结果:术后12 h及1、3、5 d,研究组患者视觉模拟评分(VAS)均低于对照组(P<0.05).术后1、3及5 d,研究组患者Tampa恐动症量表(TSK)评分均低于对照组(P<0.05),且研究组患者术后5 d内恐动症发生率低于对照组(4.00%vs.18.00%,P<0.05).术后3 d及5 d,研究组患者美国特殊外科医院膝关节评分(HSS)均高于对照组(P<0.05);研究组患者日常生活活动能力(ADL)评分均高于对照组(P<0.05).术后5 d,研究组患者并发症总发生率低于对照组(16.00%vs.36.00%,P<0.05).结论:基于"Watson关怀理论"的护理模式有利于缓解TKA患者术后疼痛程度,促进其膝关节功能及日常生活能力恢复,降低术后恐动症及并发症发生风险.

Abstract

Objective:To investigate the effect of nursing model based on"Watson's theory of care"on kinesophobia,pain and functional recovery in patients undergoing total knee arthroplasty(TKA).Methods:A total of 100 patients treated with TKA were se-lected as study objects and they were divided into control group(n=50)and study group(n=50)according to different nursing mod-el.The control group adopted the routine nursing mode,and the research group adopted the nursing mode based on the"Watson's theory of care"on the basis of the control group.Postoperative pain,fear degree,knee function and daily living ability of the two groups were compared,and occurrence of complications 5 days after surgery were recorded.Results:The visual analogue scale(VAS)of the study group was lower than that of the control group at 12 h,1,3 and 5 d after surgery(P<0.05).The score of Tampa kinetophobiascale(TSK)in the study group was lower than that in the control group at 1,3 and 5 d after surgery(P<0.05),and the incidence of kine-tophobia in the study group was lower than that in the control group at 5 d after surgery(4.00%vs.18.00%,P<0.05).At 3 and 5 d after surgery,the knee joint score(HSS)of the Hospital for Special Surgery in the study group was higher than that of the control group(P<0.05).Activity of daily living(ADL)scores in the study group were higher than those in the control group at 3 and 5 d af-ter surgery(P<0.05).The incidence of complications 5 d after operation in the study group was lower than that in the control group(16.00%vs.36.00%,P<0.05).Conclusion:The nursing mode based on"Watson's theory of care"is beneficial to alleviate the postoperative pain of TKA patients,promote the recovery of knee function and daily living ability,and reduce the risk of postoperative kinesophobia and complications.

关键词

Watson关怀理论/全膝关节置换术/恐动症/疼痛/膝关节功能

Key words

Watson's Theory of care/Total knee arthroplasty/Kinetophobia/Pain/Knee joint function

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出版年

2025
川北医学院学报
川北医学院

川北医学院学报

CSTPCD
影响因子:0.958
ISSN:1005-3697
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