Abstract: Objective To explore the effects of multidisciplinary teamwork intervention for total knee arthroplasty（TKA） patients with kinesiophobia. Methods A total of 106 TKA patients with kinesiophobia admitted from February 2018 to March 2019 in our hospital were enrolled as research subjects by a convenience sampling method.53 patients admitted from October 2018 to March 2019 were allocated into an experimental group, while 53 patients admitted from February to August 2018 were assigned into a control group. Multidisciplinary teamwork intervention was adopted in the experimental group with routine nursing care, while the control group only received routine nursing care. The differences of the 2 groups in the scores of kinesiophobia, knee function, pain severity in resting and exercising, the first activity time after getting out of bed, length of stay and hospitalization expenses were compared on discharge day. Results After the implementation of multidisciplinary teamwork intervention, the scores of kinesiophobia, pain severity in resting and exercising in the experimental group were lower than those in the control group（P< 0.05）, and the score of knee function was higher than that in the control group（P< 0.05）. In addition, the first activity time after getting out of bed, length of stay and hospitalization expenses in the experimental group were also better than those in the control group（P< 0.05）. Conclusion The multidisciplinary teamwork intervention was scientific and reliable in TKA patients with kinesiophobia, which can reduce the incidence of kinesiophobia, relieve pain and accelerate the recovery of knee function effectively.

Key words: Arthroplasty, Replacement, Knee, Kinesiophobia, Early Ambulation, Nursing Care

摘要： 目的 探讨多学科协作干预方案对全膝关节置换术后恐动症患者的影响。方法 采用便利抽样法, 选取2018年2月—2019年3月我院收治的106例全膝关节置换术后恐动症患者作为研究对象。其中2018年10月—2019年3月的53例为试验组, 2018年2月—8月的53例为对照组, 分别给予多学科协作干预和常规护理干预, 并在出院日比较两组恐动症评估简表中文版评分、美国特种外科医院膝关节评分、静息及活动状态下疼痛数字评分表评分、术后首次下床活动时间、住院天数及住院费用的差异。结果 实施多学科协作干预方案后, 试验组恐动症评估简表中文版评分、静息及活动状态下疼痛数字评分表评分均低于对照组（P< 0.05）, 美国特种外科医院膝关节评分高于对照组（P< 0.05）; 试验组术后首次下床活动时间、住院天数及住院费用均低于对照组（P< 0.05）。结论 多学科协作干预方案科学、可靠, 能有效降低全膝关节置换患者术后恐动症, 缓解术后疼痛, 促进膝关节功能恢复。

关键词: 关节成形术, 置换, 膝, 恐动症, 早日下床活动, 护理