控制论为导向的教育干预对行膝关节置换术的膝骨性关节炎患者情绪状态和生活质量的影响OA

Objective:To investigate the effect of cybernetic-oriented educational intervention on the emotional state and quality of life of patients with knee osteoarthritis(KOA)who underwent knee arthroplasty.Methods:Eighty-six KO A patients with knee arthroplasty admitted to our hospital from October 2020 to October 2021 were select-ed and randomly divided into a control group and an observation group,43 cases each,with the control group given conventional intervention and the observation group given cybernetic-oriented educational intervention on the basis of the control group.The two groups were compared for emotional status[Self-Assessment Scale for Anxiety(SAS)and Depression Self-Scale(SDS)],psychological resilience[Psychological Resilience Scale(CD-RISC)],self-effi-cacy[Knee Self-Efficacy Scale(K-SES)],disease control[Western Ontario and McMaster University Osteoarthri-tis Index(WOMAC)score and Hospital for Special Surgery(HSS)Knee of America score]and quality of life[Health Status Survey Short Form(SF-36)].Results:After the intervention,compared to the control group,the observation group had significantly lower SAS scores and SDS scores(t=-5.102,-4.035;P＜0.001),significantly higher scores on all dimensions of the CD-RISC scale(t=4.024,7.182,7.096;P＜0.001),and significantly higher scores on all di-mensions of the K-SES scale(t=5.524,4.676,5.222,6.752;P＜0.001),significantly lower of theWOMAC scores(t=-4.467,P＜0.001),significantly higher of the HSS scores(t=6.834,P＜0.001),and significantly higher of the SF-36 scores on all dimensions(t=4.978,9.641,7.020 6.090,6.532,8.609,5.387,6.544;P＜0.001).Conclusion:Cy-bernetic-oriented educational interventions for KO A with knee arthroplasty can improve patients'emotional state,enhance psychological resilience,improve self-efficacy,promote recovery,and improve quality of life.