【摘要】 目的 探讨基于多学科合作的延续护理路径在膝关节周围骨折术后恐动症患者中的应用效果。方法 选取2019年膝关节周围骨折术后恐动症患者50例作为对照组，实施常规延续护理措施，2020年膝关节周围骨折术后恐动症患者50例作为观察组，实施基于多学科合作的延续护理路径措施。分别于术后1、2、3个月采用骨科患者功能锻炼依从性量表、恐动症Tampa评分(TSK)、美国特种外科医院膝关节评分(HSS评分)比较2组患者的康复效果。结果 2组患者干预后功能锻炼依从性、膝关节功能评分的时间效应、组间效应和交互效应显著(P<0.05),恐动症得分的时间效应、组间效应显著(P<0.05),交互效应不显著(P>0.05)。结论 基于多学科合作的延续护理路径的实施，可以提高出院后的膝关节周围骨折术后恐动症阳性患者的功能锻炼依从性、降低他们的恐动程度，加速关节功能康复。更多还原

【Abstract】 Objective To explore the application effect of multidisciplinary cooperative continuous nursing on peri-knee fracture patients with postoperative kinetophobia.Methods Totally 100 patients with postoperative kinetophobia were enrolled as the control group and the study group, the control group(n=50) received conventional continuous nursing in 2019,and the study group(n=50) received multidisciplinary cooperative continuous nursing in 2020.At months 1,2 and 3 of postoperative, the compliance to functional exercise for orthopedic patient scale, Tampa Scale for Kinesiophobia(TSK) and Hospital for Special Surgery(HSS) score were used to assess rehabilitation effect between the two groups.Results A After intervention, the differences in time effect, intergroup effect and interaction effect of the compliance and HSS score between groups were significant(P<0.05).The differences in the time effect and intergroup effect of TSK score were significant(P< 0.05),but there were no significant difference in the interaction effect of TSK score(P>0.05).Conclusion For FAK patients with postoperative kinetophobia, multidisciplinary cooperative continuous nursing can improve the compliance of functional exercise, reduce their motility level and promote the rehabilitation of joint function.更多还原