Application of Multidisciplinary Feedforward Control Nursing Management in Preventing Kinesiophobia After Total Knee Arthroplasty
Objective:To investigate the effect of multidisciplinary feedforward control nursing management on kinesiophobia after total knee arthroplasty(TKA).Methods:According to the random number table method,a total of 94 patients who underwent TKA in the hospital from October 2021 to October 2022 were selected as the research subjects.And they were divided into the control group and the observation group,with 47 patients in each group.The control group received routine nursing,and the observation group received multidisciplinary feedforward control nursing management based on routine nursing.Kinesiophobia score,pain score(Visual Analogue Scale,VAS),knee joint score(Hospital for Special Surgery,HSS),first time of getting out of bed and hospitalization stay,scores of HAMD and HAMA,compliance with functional exercise,and nursing satisfaction of two groups were compared.Results:After intervention,kinesiophobia score and VAS score of the observation group were significantly lower than those of the control group(t=12.293,9.181;P＜0.05).The HSS score of observation group was significantly higher than that of the control group,and the first time of getting out of bed and length of hospitalization stay in the observation group were significantly shorter than those in the control group(t=6.759,8.114,4.503;P＜0.05).The Hamilton Depression Scale(HAMD)score and Hamilton Anxiety Scale(HAMA)score of the observation group were significantly lower than those of the control group,and functional exercise compliance score was significantly higher than that of the control group(t=16.510,20.884,16.460;P＜0.05).The overall nursing satisfaction of the observation group was significantly higher than that of the control group(x2=9.895,P＜0.05).Conclusion:Multidisciplinary feedforward control nursing management can effectively reduce the incidence of kinesiophobia after TKA;effectively alleviate postoperative pain,anxiety and depression;promote knee function recovery;shorten the first time of getting out of bed and hospitalization stay;and improve nursing satisfaction.
万方数据
维普
