首页|跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症的中介效应

跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症的中介效应

扫码查看
原文链接
  • 万方数据
  • 维普
目的 探讨跌倒恐惧全膝关节置换术后患者疼痛灾难化与恐动症之间的中介效应.方法 采用便利抽样法,选取2022年10月—2023年6月在郑州大学第一附属医院骨科行单侧全膝关节置换术的患者作为研究对象,采用一般资料调查表、恐动症评分简表、疼痛灾难化量表以及简明国际跌倒效能量表对230例受试对象进行问卷调查,构建并检验中介模型.结果 本组全膝关节置换术后患者恐动症总分为(24.70±7.46)分,跌倒恐惧总分为(16.35±5.27)分,疼痛灾难化总分为(29.26±9.64)分.全膝关节置换术后患者恐动症总分与跌倒恐惧总分呈正相关(r=0.670,P＜0.001),与疼痛灾难化总分呈正相关(r=0.710,P＜0.001),疼痛灾难化总分与跌倒恐惧总分呈正相关(r=0.652,P＜0.001).跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症间起部分中介作用,效应占 33.1％.结论 本组全膝关节置换术后患者恐动症处于中等水平,跌倒恐惧及疼痛灾难化处于中等偏上水平,跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症间起部分中介作用.建议临床医务工作者应关注全膝关节置换术后患者疼痛灾难化及跌倒恐惧,降低其恐动症,以促进其膝关节功能快速恢复.
Mediating effect of fear of falling between pain catastrophizing and kinesiophobia in patients undergoing total knee arthroplasty
Objective To explore the mediating effect of fear of falling between pain catastrophizing and kinesiophobia in patients undergoing total knee arthroplasty.Methods With convenience sampling,230 patients who underwent unilateral total knee arthroplasty from the First Affiliated Hospital of Zhengzhou University from October 2022 to June 2023 were selected and surveyed by the general information questionnaire,Tampa Scale for Kinesiophobia,Pain Catastrophizing Scale and Short Falls Efficacy Scale-International.The mediation model was constructed and verified.Results The total score of kinesiophobia,fear of falling,and pain catastrophizing was 24.70±7.46,16.35±5.27,and 29.26±9.64,respectively.Kinesiophobia in patients undergoing total knee arthroplasty was positively associated with fear of falling(r=0.670,P＜0.001),and pain catastrophizing(r=0.710,P＜0.001);pain catastrophizing was positively associated with fear of falling(r=0.652,P＜0.001).Fear of falling played a partial mediating role between pain catastrophizing and kinesiophobia in patients undergoing total knee arthroplasty,accounting for 33.1％of the total effect.Conclusion In this study,kinesiophobia is at a moderate level,and the fear of falling and the pain catastrophizing are at a moderate to high level.Moreover,fear of falling plays a partial mediating role on the relationship between pain catastrophizing and kinesiophobia in patients undergoing total knee arthroplasty.It is suggested that medical practitioners should pay attention to fear of falling and pain catastrophizing,so as to minimize the level of kinesiophobia and enhance the speedy recovery of knee function in patients following total knee arthroplasty.

arthroplasty,replacement,kneepain catastrophizingfear of fallingkinesiophobiaorthopedics nursing

蔡立柏、梁郝、刘延锦、魏苗、郭玉茹、李英、崔妙然、秦俊美

展开 >

郑州大学第一附属医院骨科,河南郑州 450053

郑州医药健康职业学院临床护理教研室,河南郑州 452370

郑州大学第一附属医院护理部,河南郑州 450053

郑州大学第一附属医院神经内科,河南郑州 450053

郑州大学第一附属医院泌尿外科医学部,河南郑州 450053

展开 >

关节成形术,置换,膝 疼痛灾难化 跌倒恐惧 恐动症 骨科护理

中华医学会杂志社护理学科研究课题(2022-2023)河南省医学科技攻关计划联合共建项目郑州大学第一附属医院护理科研专项青年项目(2023)

CMAPH-NRG2022001LHGJ20190074HLKY2023016

2024

10.16460/j.issn1008-9969.2024.07.063

护理学报
南方医科大学

护理学报

CSTPCD
影响因子：1.705
ISSN：1008-9969
年,卷(期)：2024.31(7)
  • 26