【摘要】 目的 探讨基于恐惧-回避模型(FAM)的疼痛管理对全膝关节置换术(TKA)患者术后恐动症的影响。方法 选取2023年2月至2025年2月郑州大学第一附属医院收治的86例膝关节骨性关节炎(KOA)患者为研究对象，根据入院的先后顺序分为对照组和观察组，各43例。对照组术后进行常规干预，观察组在对照组基础上采用基于FAM的疼痛管理方案干预。比较两组干预前后中文版恐惧-回避信念问卷(FABQ-CHI)评分、疼痛灾难化量表(PCS)评分、恐动症评估简表(TSK-11)评分、美国特种外科医院(HSS)膝关节评分、康复自我效能感量表(SER)评分。结果 干预后观察组FABQ-CHI、PCS及TSK-11评分均低于对照组，HSS、SER评分均高于对照组(P<0.05)。结论 基于FAM的疼痛管理方案可有效改善TKA术后患者恐动症，缓解疼痛灾难化认知，促进膝关节功能恢复，提高康复自我效能感。更多还原

【Abstract】 Objective To explore the effect of pain management based on fear-avoidance model(FAM) on postoperative kinesiophobia disorder in patients undergoing total knee replacement(TKA). Methods Eighty-six patients with knee osteoarthritie(KOA) admitted to the First Affiliated Hospital of Zhengzhou University from February 2023 to February 2025 were selected as the research object, and were divided into control group and observation group according to the order of admission, with 43 cases in each group. The control group was given routine intervention after operation, while the observation group was given FAM-based pain management intervention on the basis of the control group. The scores of Chinese version of the fear-avoidance beliefs questionnaire(FABQ-CHI), pain catastrophizing scale(PCS), tampa scale of kinesiophobia(TSK-11), American hospital for special surgery(HSS) and self-efficacy for rehabilitation outcome scale(SER) were compared between the two groups before and after intervention. Results After the intervention, the scores of FABQ-CHI, PCS and TSK-11 in the observation group were lower, while the scores of HSS and SER were higher(P<0.05). Conclusion FAM-based pain management scheme can effectively improve patients’ panic disorder after TKA, relieve pain catastrophic cognition, promote the recovery of knee joint function, and improve rehabilitation self-efficacy.更多还原