Application of pressure vaccination training intervention in patients with irrational fear of movement after total knee arthroplasty

doi:10.3877/cma.j.issn.2096-0263.2025.04.002

Abstract

Abstract:

Objective

To explore the effect of pressure vaccination training in patients with irrational fear of movement after total knee arthroplasty.

Methods

Prospective collection of 91 patients who underwent total knee arthroplasty at University of Healthy and Rehabilitation Science Qingdao Hospital from March 2022 to December 2022 and met the inclusion and exclusion criteria. There were 45 males and 46 females with an average age of (67.45±5.87) years. They were divided into a control group (n=45) and an intervention group (n=46) based on their length of stay. The control group was given routine nursing intervention, and the test group was given pressure vaccination training intervention. The differences of functional exercise compliance, anxiety, depression and phobia between the two groups before and after the intervention were compared.

Results

After intervention, the total score of functional exercise compliance and various dimensions including psychological, active learning, and physical scores in the intervention group were (66.48 ±3.01), (36.28±2.38), (17.18±1.83), and (13.15±2.07), respectively, higher than those in the control group (62.89±4.12), (34.96±2.50), (15.76±2.88), and (9.65±3.07), with statistically significant differences (t=4.754, 2.591, 2.799, 2.544, all P<0.05). After intervention, the scores of the intervention group on the Self-rating anxiety scale and Self-rating depression scale and Tampa scale of kinesiophobia were (41.11±6.28), (50.17±4.74), and (22.48±5.87), respectively, lower than those of the control group (43.36±4.82), (53.67± 6.76), and (29.64±6.14), with statistically significant differences (t=2.279, 2.850, 5.695, all P<0.05).

Conclusion

Pressure vaccination training can effectively improve the compliance of patients with functional exercise, reduce the level of anxiety and depression, reduce the occurrence of phobia,and promote the early functional recovery of knee joint.

Key words: Stress inoculation training, Total knee arthroplasty, Irrational fear of movement, Compliance, Negative emotions

Bo Liu, Yurong Ma, Xiao Fan, Ting Liu. Application of pressure vaccination training intervention in patients with irrational fear of movement after total knee arthroplasty[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(04): 201-206.

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References 22

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组别	例	性别（例）		年龄（岁，±s）	文化程度（例）			部位（例）		病程（年，±s）
组别	例	男	女	年龄（岁，±s）	小学	中学	中专及以上	左	右	>5	5~10	>10
干预组	46	22	24	67.83±5.25	21	14	9	24	22	10	17	19
对照组	45	23	22	67.07±6.48	23	11	11	26	19	13	15	17
统计值		χ²=0.098		t=0.615	χ²=0.640			χ²=0.289		χ²=0.617
P值		0.754		0.540	0.726			0.591		0.735

组别	例	性别（例）		年龄（岁，±s）	文化程度（例）			部位（例）		病程（年，±s）
组别	例	男	女	年龄（岁，±s）	小学	中学	中专及以上	左	右	>5	5~10	>10
干预组	46	22	24	67.83±5.25	21	14	9	24	22	10	17	19
对照组	45	23	22	67.07±6.48	23	11	11	26	19	13	15	17
统计值		χ²=0.098		t=0.615	χ²=0.640			χ²=0.289		χ²=0.617
P值		0.754		0.540	0.726			0.591		0.735

组别	例数	心理方面		主动学习方面		身体方面		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	45	26.44±5.91	34.96±2.50	13.76±4.07	15.76±2.88	9.53±3.42	12.04±2.09	49.73±7.80	62.89±4.12
干预组	46	26.07±6.05	36.28±2.38	13.63±3.05	17.18±1.83	9.65±3.07	13.15±2.07	49.35±7.93	66.48±3.01
统计值		t=0.302	t=2.591	t=0.166	t=2.799	t=0.175	t=2.544	t=0.234	t=4.754
P值		0.763	0.011	0.868	0.007	0.862	0.013	0.816	0.000

组别	例数	心理方面		主动学习方面		身体方面		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	45	26.44±5.91	34.96±2.50	13.76±4.07	15.76±2.88	9.53±3.42	12.04±2.09	49.73±7.80	62.89±4.12
干预组	46	26.07±6.05	36.28±2.38	13.63±3.05	17.18±1.83	9.65±3.07	13.15±2.07	49.35±7.93	66.48±3.01
统计值		t=0.302	t=2.591	t=0.166	t=2.799	t=0.175	t=2.544	t=0.234	t=4.754
P值		0.763	0.011	0.868	0.007	0.862	0.013	0.816	0.000

组别	例数	SAS		SDS		TSK-11
组别	例数	干预前干预后		干预前干预后		干预前	干预后
对照组	45	54.42±4.43	43.36±4.82	57.67±5.61	53.67±6.76	38.09±4.59	29.64±6.14
干预组	46	53.33±5.63	41.11±6.28	58.83±4.41	50.17±4.74	37.17±6.32	22.48±5.87
t值		1.042	2.279	1.097	2.850	0.788	5.695
P值		0.300	0.025	0.276	0.006	0.433	0.000

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