老年骨性关节炎患者全膝关节置换术后自护能力的影响因素及与希望水平的相关性分析

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Abstract Objective To observe the self-care ability of elderly patients with osteoarthritis (OA) after total knee arthroplasty (TKA), and to analyze the relationship between the influencing factors of self-care ability and hope level of patients. Methods A total of 92 elderly patients with OA who received TKA treatment in Department of Orthopedics, West China Hospital of Sichuan University from March 2015 to July 2019 were selected as the research subjects. The exercise of self-care ability scale (ESCA) was used to assess the self-care ability of patients and divided them into a low self-care ability group (34 cases) and a normal self-care ability group (58 case) at three months after operation; baseline data survey questionnaires were designed, baseline data of patients were collected and compared, the hope levels [herth hope index (HHI) for evaluation] of patients were compared, while the relationship between the influencing factors of self-care ability and hope level of patients were analyzed. Results Among 92 elderly patients with OA, 34 cases had low self-care ability after TKA, accounting for 36.96%. The economic status, social support score, hope level score of the low self-care ability group were compared with the normal self-care ability group, and the differences were statistically significant (P ＜ 0.05). Logistic regression analysis showed that poor economic status, low social support, and low level of hope were the influencing factors for the low self-care ability of elderly patients with OA after TKA (OR = 1.947, 1.866, 2.199, P ＜ 0.05). The self-care ability of elderly patients with OA after TKA was positively correlated with the level of hope (r = 0.562, P ＜ 0.01). Conclusion The self-care ability of elderly patients with OA is generally low after TKA, which may be related to the factors such as poor economic status, low social support, and low level of hope, and their level of hope is positively correlated with self-care ability. The clinic should pay attention to the hope level of patients, and early targeted interventions should be given to improve the self-care ability of patients.

Key words： Osteoarthritis Total knee arthroplasty Self-care ability Economic status Social support Hope level Correlation

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	ZHOU Xun DENG Xianjun DUAN Shanshan HOU Xiaoling▲

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ZHOU Xun DENG Xianjun DUAN Shanshan HOU Xiaoling▲. Influencing factors of self-care ability in elderly patients with osteoarthritis after total knee arthroplasty and correlation analysis with hope level[J]. 中国医药导报, 2021, 18(11): 193-196.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I11/193

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