论著

全膝关节置换术后患者的体力活动水平与其影响因素分析

展开
  • 1. 212000 江苏省镇江市 江苏大学医学院
    2. 215500 江苏省常熟市 常熟市第二人民医院
    3. 215300 江苏省昆山市 江苏大学附属昆山医院

收稿日期: 2020-03-21

  修回日期: 2020-04-17

  网络出版日期: 2020-06-26

基金资助

常熟市卫健委科技计划项目(CSWS9201911)

Analysis of Physical Activity Level and its Influencing Factors in Patients after Total Knee Arthroplasty

Expand
  • 1. 1 Medical school of Jiangsu University, Zhenjiang 212000, China
    2. Second People's Hospital of Changshu, Changshu 215500, China
    3. Kunshan Hospital, Jiangsu University, Kunshan 215300, China

Received date: 2020-03-21

  Revised date: 2020-04-17

  Online published: 2020-06-26

摘要

目的 调查全膝关节置换术后患者的体力活动水平及其影响因素。

方法 根据纳入排除标准招募研究对象,采用方便抽样法,运用一般资料调查表、国际体力活动量问卷、体育活动自我调控问卷和美国特种外科医院膝关节评分量表进行调查。

结果 112名研究对象参与本研究,总平均体力活动量为(5 087.39±2 234.21),低、中、高强度的活动量分别为(1 612.89±340.89)、(1 009.31±818.23)、(267.76±49.89);体力活动的动机为(41.89±11.78),自主性动机得分为(29.18±8.87),外在调节得分为(6.59±2.01),内摄调节得分为(5.43±1.48);膝关节功能得分为(71.33±13.01);年龄、BMI、膝关节功能、体力活动动机、居住情况等均能影响体力活动水平(P<0.01)。

结论 全膝关节置换术后患者体力活动水平处于较低水平,年龄、BMI、膝关节功能、体力活动动机、居住情况等是体力活动水平的积极因素。

本文引用格式

郁嘉娴, 周凯云 . 全膝关节置换术后患者的体力活动水平与其影响因素分析[J]. 组织工程与重建外科杂志, 2020 , 16(3) : 241 -244 . DOI: 10.3969/j.issn.1673-0364.2020.03.017

Abstract

Objective To investigate the physical activity level and its influencing factors in patients after total knee arthroplasty.

Methods The subjects were recruited according to the inclusion and exclusion criteria by simple random sampling method, and "General data questionnaire", "International Physical Activity Questionnaire", "Regulation Questionnaire of Physical activity" and "hospital for Special surgery knee score" were adopted to investigate in this study.

Results A total of 112 patients participated in the study. The total average physical activity was (5 087.39±2 234.21), and the low, medium, and high intensity activities were (1 612.89±340.89), (1 009.31±818.23), (267.76±49.89) respectively. The motivation for physical activity was (41.89±11.78), of which the autonomic motivation score was (29.18±8.87), the external adjustment score was (6.59±2.01), the endoscopic adjustment score was (5.43±1.48). The knee joint function assessment score was (71.33±13.01). The age, BMI, knee joint function, physical activity motivation, condition of residence all affected physical activity level (P<0.01).

Conclusion The physical activity level of patients after total knee arthroplasty is low. Age, BMI, knee joint function, physical activity motivation, condition of residence are positive factors of physical activity level.

参考文献

[1] 郭艾, 沈惠良 . 人工膝关节置换临床实践与思考[M]. 北京: 人民卫生出版社, 2015.
[2] Lungu E, Vendittoli PA, Desmeules F . Preoperative determinants of patient-reported pain and physical function levels following total knee arthroplasty: a systematic review[J]. Open Orthop J, 2016,10:213-231.
[3] 徐健, 姜彩虹, 徐英杰 , 等. 不同镇痛方案对老年患者全膝关节置换后疼痛、关节功能与认知功能的影响[J]. 中国老年学杂志, 2019,39(6):1353-1357.
[4] Seo JG, Moon YW, Cho BC , et al. Is total knee arthroplasty a viable treatment option in octogenarians with advanced osteoarthritis?[J] Knee Surg Relat Res, 2015,27(4):221-227.
[5] Tan NLT, Hunt JL, Gwini SM . Does implementation of an enhanced recovery after surgery program for hip replacement improve quality of recovery in an Australian private hospital: a quality improvement study[J]. BMC Anesthesiol, 2018,18(1):64.
[6] 金平湖 . 快速康复护理模式在骨科患者围手术期中的应用[J]. 护士进修杂志, 2018,33(23):2168-2170.
[7] 蔡立柏, 刘延锦, 赵辉 , 等. 认知行为干预降低全膝关节置换后恐动症[J]. 中国组织工程研究, 2017,21(23):3658-3663.
[8] 张洁, 闫文彤 . SPSS统计分析高级教程[M]. 北京: 高等教育出版社, 2004.
[9] 兰平文, 沈彬, 杨静 , 等. 国际活动量问卷用于全膝关节置换术后患者活动量评估的信度和效度研究[J]. 中国康复医学杂志, 2013,28(8):743-746.
[10] Craig CL, Marshall AL, Sj?str?m M , et al. International physical activity questionnaire: 12-country reliability and validity[J]. Med Sci Sports Exerc, 2003,35(8):1381-1395.
[11] 岳爽 . 关节松动技术配合本体感觉训练对于全膝关节置换术后膝关节早期功能恢复的临床研究[D]. 杭州:浙江中医药大学, 2018.
[12] Kocic M, Stankovic A, Lazovic M . Influence of fear of movement on total knee arthroplasty outcome[J]. Ann Ital Chir, 2015,86(2):148-155.
[13] Usuelli FG, Pantalone A, Maccario C , et al. Sports and recreational activities following total ankle replacement[J]. Joints, 2017,5(1):12-16.
[14] Dagneaux L, Bourlez J, Degeorge B , et al. Return to sport after total or unicompartmental knee arthroplasty: An informative guide for residents to patients[J]. EFORT Open Reviews, 2017,2(12):496-501.
[15] Bay S, Kuster L, Mclean N , et al. A systematic review of psychological interventions in total hip and knee arthroplasty[J]. BMC Musculoskelet Disord, 2018,19:201.
[16] Barber-Westin SD, Noyes FR . Aerobic physical fitness and recreational sports participation after total knee arthroplasty[J]. Sports Health, 2016,8(6):553-560.
[17] Kitakata H, Kohno T, Kohsaka S , et al. Patient confidence regarding secondary lifestyle modification and knowledge of 'heart attack' symptoms following percutaneous revascularisation in Japan: a cross-sectional study[J]. BMJ Open, 2018,8(3):e019119.
文章导航

/