Construction and application of the early rehabilitation management model for patients with kinesiophobia after total knee arthroplasty based on a topic-oriented quality control circle
10.3760/cma.j.cn115682-20240303-01074
- VernacularTitle:基于课题达成型品管圈的全膝关节置换术后恐动症患者早期康复管理模式的构建及应用
- Author:
Libai CAI
1
;
Miaoran CUI
;
Jiping MENG
;
Yangyang LIU
;
Yang LYU
;
Wenjing HUANG
;
Jinhong MIAO
;
Cong YUAN
Author Information
1. 郑州大学第一附属医院骨科，郑州 450053
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, knee;
Kinesiophobia;
Early rehabilitation;
Enhanced recovery after surgery;
Quality control circle
- From:
Chinese Journal of Modern Nursing
2025;31(3):368-374
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an early rehabilitation management model for postoperative kinesiophobia patients after total knee arthroplasty (TKA) based on a topic-oriented quality control circle method, aiming to improve the quality of early rehabilitation management.Methods:Using a convenience sampling method, 120 TKA patients with kinesiophobia treated in the Department of Orthopedics at the First Affiliated Hospital of Zhengzhou University from January to April 2022 and September to December 2022 were selected. The patients from January to April 2022 were set as the control group, and those from September to December 2022 were set as the observation group, with 60 patients in each group. The control group received routine rehabilitation management after TKA surgery, while the observation group received the early rehabilitation management model based on the 10 steps of the topic-oriented quality control circle (topic selection, activity planning, clarification of the topic, goal setting, countermeasure formulation, pursuit of optimal strategies, etc.) in addition to the routine management. The differences between the two groups were compared in terms of kinesiophobia score, knee function score, pain score, early rehabilitation assessment rate, effective analgesia rate, and 24-hour ambulation rate.Results:After the intervention, the observation group showed significantly lower knee pain scores (2.89±0.66) and kinesiophobia scores (23.27±4.87) compared to the control group, with a significantly higher knee function score (74.47±7.40), all differences were statistically significant (all P<0.01). Additionally, the observation group had a significantly higher early rehabilitation assessment rate, effective analgesia rate, 24-hour ambulation rate, early rehabilitation compliance rate, earlier time for the first ambulation, shorter hospital stay, and reduced costs compared to the control group, with all differences showing statistical significance (all P<0.01) . Conclusions:The application of the topic-oriented quality control circle to construct and implement an early rehabilitation management model for postoperative kinesiophobia patients after TKA can effectively improve the quality of early rehabilitation management, reduce kinesiophobia levels, enhance knee joint function, and alleviate the economic burden.
