自我效能干预对膝前交叉韧带翻修恐动症的作用（开放获取）

(Open Access) Effect of self-efficacy intervention on kinetophobia in revision reconstruction of the anterior cruciate ligament

摘要:

[目的] 探究自我效能干预在军事训练所致膝关节前交叉韧带重建翻修恐动症患者的作用。[方法] 以2022 年5 月—2023 年10 月军事训练所致的膝关节前交叉韧带翻修术后恐动症患者60 例为研究对象，其中，2023 年2 月—10 月入院的30例在常规护理的基础上给予自我效能干预（干预组），而2022 年5 月—2023 年1 月入院的30 例实施常规护理（常规组）。比较两组疼痛数字评定量表（numeric rating scale, NRS） 评分，Tampa 恐动评分（Tampa Scale of Kinesiophobia-17, TSK-17） 和一般自我效能评分（general self-efficacy scale, GSES）。[结果] 术后第1 d，两组患者在疼痛NRS、TSK-17 和GSES 评分的差异均无统计学意义（P＞0.05）。与术后第1 d 相比，出院时两组患者的疼痛NRS、TSK-17 和GSES 评分均显著改善（P＜0.05)，干预组在疼痛NRS [(2.2±0.8), (2.7±0.7), P=0.006]、TSK-17 [(30.8±2.8), (33.3±1.8), P＜0.001] 和GSES 评分[(32.9±2.5), (27.7±2.4), P＜0.001] 均显著优于常规组。[结论] 对军事训练所致的膝关节前交叉韧带翻修恐动症患者采用自我效能干预可显著减轻疼痛、降低恐动，促进膝关节功能恢复。

Abstract:

[Objective] To explore the effect of self-efficacy intervention on kinetophobia in revision reconstruction of the anterior cru-ciate ligament due to military training injury. [Methods] Sixty patients with kinesophobia in revision reconstruction of anterior cruciate liga-ment (ACL) due to military training injury were included into this study from May 2022 to October 2023. Among them, 30 patients admittedfrom February to October 2023 were given self-efficacy intervention (intervention group) on the basis of routine care, while other 30 pa-tients admitted between May 2022 and January 2023 received routine care (routine group). The numeric rating scale (NRS) scores for pain,Tampa Scale of Kinesiophobia (TSK-17) and general self-efficacy scale (GSES) were compared between the two groups. [Results] At admis-sion, there were no significant differences in pain NRS, TSK-17 and GSES scores between the two groups (P＞0.05). Compared with those atadmission, the pain NRS, TSK-17 and GSES scores significantly improved in both groups at discharge (P＜0.05). At discharge, the interven-tion group proved significantly superior to the routine group in terms of NRS [(2.2±0.8), (2.7±0.7), P=0.006], TSK-17 [(30.8±2.8), (33.3±1.8), P＜0.001] and GSES scores [(32.9±2.5), (27.7±2.4), P＜0.001]. [Conclusion] Self-efficacy intervention can significantly reduce pain,reduce kinesiophobia and promote functional recovery in ACL revision reconstruction due to military training injury.