行为阶段转变理论模型在机器人辅助全膝关节置换术后护理中的应用

打开文本图片集

中图分类号R472.3 文献标识码A 文章编号2096-7721（2025）06-0959-05

Application of the transtheoretical model ofbehavior change in postoperative care for robot-assisted total knee arthroplasty

CHEN Yuan’， ZHANG Lingxia²，LI Jiayi

（1.Departmetoics;2.uingpmt，jsspialgcalUsitynga）

AbstractObjective：Toexplorethvalueoftheranstheoreticalodel（T）ofehaviorchangeinpostoperatiecareforobotistd totalkneearthroplasty（RA-KA）.Methods：6OpatientswhunderwentRA-KAatNanjingFirstHospitalfromJauary21toMarch 2024 wererandomlydividedintothestudygroup（n=3O，receivingTTM-basednursing added toroutie nursing）andthecontrolgroup （ n =30，receivingroutine nursing）usingarandomumbertable.Bothgroupsreceived3-monthintervention.ExerciseofSelf-care Agency Scale （ESCAS）oseefuci（Asedoge）hicalatusalityflfdliatiose betwenthetworoupsofatients.Results：AfterinterventionESCASsoresincreasedinbothgoups，withigherimprovents inthestudygroup（P<0.05）.AKSSscoresandkneeflexionofpatientsinthetwogroupswerebothimprovedafter1and3monthsof intervention， with greater gains in the study group （P<0.05） . Tampa Scale of Kinesiophobia （TSK-11）， SDS，and VAS scores decreased more significantly in the study group， while rehabilitation adherence and GQOLI-74 scores increased （ P <0.05）. The study group had lower complication rates than the control group （P<0.05） . Conclusion： TTM can enhance self-care ability，improve knee function，psychological status，and quality of life of patients undergoing RA-TKA while reducing complications.

KeywordsTotalKneeAthroplasty;Robot-assistedSurgery;TranstheoreticalModelofBehaviorChange;KneeJointFunction

膝关节置换术是临床治疗膝关节疾病的常见手术，包括全膝关节置换术（TotalKnee Arthroplasty，TKA）与单裸置换术。（剩余7860字）