全膝关节置换术后患者康复自我效能现状及影响因素

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Abstract Objective To investigate the status quo of postoperative rehabilitation self-efficacy in patients with total knee arthroplasty (TKA) and to analyze the influencing factors. Methods Using the convenience sampling method, a total of 110 patients with TKA who were treated in the General Hospital of Eastern Theater Command from December 2018 to June 2019 were selected as the research object. The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score and hip and knee self-efficacy for rehabilitation outcome scale (SER) were used for the investigation. Results A total of 104 valid questionnaires were recovered in this study, with an effective recovery rate of 94.5%. The total score of rehabilitation self-efficacy of TKA patients was (71.68±10.71) points 1 month after operation. Pain, stiffness, dysfunction scores and the WOMAC total score were negatively correlated with postoperative rehabilitation self-efficacy (r = -0.388, -0.306, -0.651, -0.617, P ＜ 0.05). The total scores of rehabilitation self-efficacy of patients with supervised training or not, different comorbidities and preoperative course were statistically significant (P ＜ 0.05). Factors such as preoperative WOMAC score, pain, with supervised training and the duration of preoperative disease were the influencing factors of rehabilitation self-efficacy (P ＜ 0.05). Conclusion The overall level of postoperative rehabilitation self-efficacy of TKA patients is not good, and is affected by factors such as preoperative WOMAC score and course of disease.

Key words： Total knee arthroplasty Self-efficacy for rehabilitation The Western Ontario and McMaster University osteoarthritis index score Influence factors

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	HAN Xue1 LIU Yun2 BAO Nirong3 LI Ying3 SUN Mingming3 LI Yincui4

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HAN Xue1 LIU Yun2 BAO Nirong3 LI Ying3 SUN Mingming3 LI Yincui4. The status quo of postoperative rehabilitation self-efficacy and influencing factors of patients after total knee arthroplasty surgery[J]. 中国医药导报, 2020, 17(15): 48-51.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I15/48

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