【摘要】 目的：评估基于跨理论模型（TTM）的认知行为干预模式在膝骨关节炎（KOA）保膝手术患者关节腔内注射药物期间的效果。方法：将本院于2023年1月—2024年12月收治的100例计划行保膝手术及关节腔内注射药物治疗的膝骨关节炎患者随机分为两组，对照组（50例）予以常规护理干预，观察组（50例）在对照组护理基础上联合基于TTM的认知行为干预。比较两组健康促进生活方式量表Ⅱ（HPLP-Ⅱ）、关节炎生活质量测量量表2-短卷（AIMS2-SF）、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分。结果：干预后，观察组HPLP-Ⅱ、AIMS2-SF评分高于对照组，SAS、SDS评分低于对照组（P<0.05）。结论：基于TTM的认知行为干预模式不仅能有效提升膝骨关节炎保膝手术患者关节腔内注射药物期间的健康行为和生活质量，还能改善其心理状态，减轻焦虑和抑郁情绪。更多还原

【Abstract】 Objective: To evaluate the effect of cognitive behavioral intervention model based on transtheoretical model(TTM) during intra-articular injection of drugs in patients with knee osteoarthritis(KOA) undergoing knee-preserving surgery. Methods: From January 2023 to December 2024, 100 patients with knee osteoarthritis who planned to undergo knee-preserving surgery and intra-articular injection of drugs were randomly divided into two groups. The control group(50 patients) was given routine nursing intervention, and the observation group(50 patients) was combined with TTM-based cognitive behavioral intervention on the basis of the control group. The scores of health-promoting lifestyle scale Ⅱ(HPLP-Ⅱ), arthritis quality of life scale 2-short volume(AIMS2-SF), selfrating anxiety scale(SAS) and self-rating depression scale(SDS) were compared between the two groups. Results: After intervention, the scores of HPLP-Ⅱ and AIMS2-SF in the observation group were higher than those in the control group, and the scores of SAS and SDS were lower than those in the control group(P<0.05). Conclusion: The cognitive behavioral intervention model based on TTM can not only effectively improve the health behavior and quality of life of patients with knee osteoarthritis during intra-articular injection of drugs, but also improve their psychological state and reduce anxiety and depression.更多还原