PDF(Pubmed)
Abstract：
BACKGROUND: Social participation is an important index of rehabilitation and social reintegration in patients after total knee arthroplasty (TKA). However, most existing studies focus on improving patients\' functioning and activities, with only a few examining the social participation among patients after TKA. Therefore, the study aims to investigate the heterogeneity of social participation in patients three months after TKA and analyze subgroup influencing factors, to promote functional exercise and postoperative follow-up in specific patients.
METHODS: This cross-sectional study recruited 255 patients who underwent TKA in a Tertiary Hospital in Jinan City, China, from March to July 2022. Three months after having undergone TKA, participants\' data were collected using the Numeric Pain Rating Scale, the Chinese version of the Tampa Scale of Kinesiophobia, the 10-item Kessler Psychological Distress Scale, Hospital for Special Surgery Knee-rating Scale, and Impact on Participation and Autonomy Questionnaire. Latent profile analysis was used to identify categories of patients\' social participation. Multiple logistic regression analysis was used to analyze the influencing factors of the different subgroups.
RESULTS: Three months after TKA, the patients were divided into three subgroups: low social participation group (17.9%), moderate social participation group (40.8%), and high social participation group (41.3%). The vast majority of patients who underwent TKA exhibited moderate-to-high level of social participation. The multiple logistic regression analysis results showed that age, degree of pain, knee function, and kinesiophobia were the influencing factors of the potential profiles of social participation in patients three months after TKA (p < 0.05).
CONCLUSIONS: These results support a distinct categorical feature of social participation among patients three months after undergoing TKA. Medical staff need to provide targeted guidance according to the potential classification characteristics of social participation to improve the level of social participation and promote rehabilitation of patients.
METHODS: This cross-sectional study recruited 255 patients who underwent TKA in a Tertiary Hospital in Jinan City, China, from March to July 2022. Three months after having undergone TKA, participants\' data were collected using the Numeric Pain Rating Scale, the Chinese version of the Tampa Scale of Kinesiophobia, the 10-item Kessler Psychological Distress Scale, Hospital for Special Surgery Knee-rating Scale, and Impact on Participation and Autonomy Questionnaire. Latent profile analysis was used to identify categories of patients\' social participation. Multiple logistic regression analysis was used to analyze the influencing factors of the different subgroups.
RESULTS: Three months after TKA, the patients were divided into three subgroups: low social participation group (17.9%), moderate social participation group (40.8%), and high social participation group (41.3%). The vast majority of patients who underwent TKA exhibited moderate-to-high level of social participation. The multiple logistic regression analysis results showed that age, degree of pain, knee function, and kinesiophobia were the influencing factors of the potential profiles of social participation in patients three months after TKA (p < 0.05).
CONCLUSIONS: These results support a distinct categorical feature of social participation among patients three months after undergoing TKA. Medical staff need to provide targeted guidance according to the potential classification characteristics of social participation to improve the level of social participation and promote rehabilitation of patients.
摘要：
背景：社会参与是全膝关节置换术（TKA）后患者康复和社会融合的重要指标。然而,大多数现有的研究集中在改善患者的功能和活动，只有少数人检查TKA后患者的社会参与情况。因此,本研究旨在调查TKA术后3个月患者社会参与的异质性,分析影响因素,促进特定患者的功能锻炼和术后随访。
方法：这项横断面研究招募了255名在济南市某三级医院接受TKA的患者，中国,2022年3月至7月。在接受TKA三个月后,参与者的数据是使用数字疼痛评定量表收集的，中国版的运动恐惧症坦帕量表，10项凯斯勒心理困扰量表，特殊外科医院膝关节评定量表,以及对参与和自主性问卷的影响。潜在特征分析用于确定患者社会参与的类别。采用多因素logistic回归分析不同亚组的影响因素。
结果：TKA后三个月，患者分为三个亚组：低社会参与组（17.9%），适度社会参与群体(40.8%)，和高社会参与度群体(41.3%)。接受TKA的绝大多数患者表现出中等至高水平的社会参与。多因素logistic回归分析结果显示,疼痛程度,膝关节功能,运动恐惧症和运动恐惧症是TKA术后3个月患者潜在社会参与状况的影响因素(p<0.05)。
结论：这些结果支持TKA术后3个月患者社会参与的明显分类特征。医务人员需要根据社会参与的潜在分类特征提供有针对性的指导,以提高社会参与水平,促进患者康复。
方法：这项横断面研究招募了255名在济南市某三级医院接受TKA的患者，中国,2022年3月至7月。在接受TKA三个月后,参与者的数据是使用数字疼痛评定量表收集的，中国版的运动恐惧症坦帕量表，10项凯斯勒心理困扰量表，特殊外科医院膝关节评定量表,以及对参与和自主性问卷的影响。潜在特征分析用于确定患者社会参与的类别。采用多因素logistic回归分析不同亚组的影响因素。
结果：TKA后三个月，患者分为三个亚组：低社会参与组（17.9%），适度社会参与群体(40.8%)，和高社会参与度群体(41.3%)。接受TKA的绝大多数患者表现出中等至高水平的社会参与。多因素logistic回归分析结果显示,疼痛程度,膝关节功能,运动恐惧症和运动恐惧症是TKA术后3个月患者潜在社会参与状况的影响因素(p<0.05)。
结论：这些结果支持TKA术后3个月患者社会参与的明显分类特征。医务人员需要根据社会参与的潜在分类特征提供有针对性的指导,以提高社会参与水平,促进患者康复。
