实用临床医药杂志2025，Vol.29Issue(9)：106-111,6.DOI:10.7619/jcmp.20245342
基于信息-动机-行为技巧模式的康复干预在全膝关节置换术后患者中的应用
Application of rehabilitation intervention based on information-motivation-behavioral skills model in patients after total knee arthroplasty
摘要
Abstract
Objective To explore the independent influencing factors of kinesiophobia in pa-tients after total knee arthroplasty and analyze the effect of rehabilitation training under the informa-tion-motivation-behavioral skills(IMB)model.Methods A total of 385 patients undergoing primary unilateral total knee arthroplasty were selected,and the independent influencing factors of kinesiopho-bia in these patients after total knee arthroplasty were analyzed.Eighty-nine patients with kinesiopho-bia were divided into control group(n=44)and observation group(n=45)according to random number table method.The control group received routine rehabilitation intervention,while the obser-vation group received rehabilitation intervention under the IMB model.The application effect of reha-bilitation intervention under the IMB model in patients with kinesiophobia after total knee arthroplasty was analyzed.Results Multivariate Logistic regression analysis showed that the analgesic effect,ad-verse reactions to anesthetics,preoperative anxiety level,preoperative depression level,postoperative self-efficacy,and postoperative family care level were all independent influencing factors of kinesio-phobia in patients after total knee arthroplasty(P＜0.05).Compared with before intervention,at 1 month and 3 months after intervention,the Tampa Scale of Kinesiophobia(TSK)scores and Numeri-cal Rating Scale(NRS)scores of both groups decreased,while the Knee Society Score(KSS)and rehabilitation exercise compliance scores increased(P＜0.05).Compared with the control group,at 1 month and 3 months after intervention,the TSK scores and NRS scores of the observation group were significantly lower,while the KSS and rehabilitation exercise compliance scores were signifi-cantly higher(P＜0.05).Conclusion There are multiple influencing factors for kinesiophobia in patients after total knee arthroplasty.Clinically,the implementation of rehabilitation training pro-gram under the IMB model is conducive to changing postoperative rehabilitation behaviors,impro-ving kinesiophobia and pain levels after total knee arthroplasty,and enhancing knee function and re-habilitation training compliance.关键词
全膝关节置换术/恐动症/独立影响因素/信息-动机-行为技巧模式/康复训练/止痛效果/膝关节功能/康复依从性Key words
total knee arthroplasty/kinesiophobia/independent influencing factors/infor-mation-motivation-behavioral skills model/rehabilitation training/analgesic effect/knee function/rehabilitation compliance分类
医药卫生引用本文复制引用
张燕,陈媛,田婕,张微,张玲霞..基于信息-动机-行为技巧模式的康复干预在全膝关节置换术后患者中的应用[J].实用临床医药杂志,2025,29(9):106-111,6.基金项目
国家自然科学基金资助项目(82102567) （82102567）
