文章摘要

膝关节置换术后老年患者的体力活动水平及其影响因素

作者: 1周昱均, 1高慧秋, 1顾依璐
1 无锡市第九人民医院关节外科,江苏 无锡 214000
通讯: 周昱均 Email: zhouyujun209@163.com
DOI: 10.3978/j.issn.2095-6959.2022.04.024

摘要

目的:探讨膝关节置换术后老年患者体力活动水平及其影响因素。方法:选择2020年1月至2021年1月无锡市第九人民医院收治的行膝关节置换术的老年患者90例,采用国际体力活动问卷长卷、体力活动-自我调控问卷及锻炼自我效能量表对患者术后3个月体力活动水平、体力活动动机、锻炼自我效能进行评价,并对体力活动水平影响因素进行单因素、多因素分析。结果:在90例患者中,22例为低体力活动水平,55例为中体力活动水平,13例为高体力活动水平;其中日常生活的体力活动耗能最高,其次为运动锻炼与休闲娱乐,再次为日常交通。不同性别、婚姻状况患者体力活动水平比较,差异有统计学意义(P<0.05)。多因素分析显示婚姻状况、体重指数(body mass index,BMI)、膝关节功能和疼痛是中体力活动水平的影响因素(P<0.05);性别、婚姻状况、体力活动-自我调控、锻炼自我效能、BMI、膝关节功能和疼痛是高体力活动水平的影响因素(P<0.05)。结论:膝关节置换术后老年患者体力活动水平处于中等低下,临床应重视患者性别、婚姻状况、体力活动-自我调控与锻炼自我效能情况,针对性加强术后体力活动干预。
关键词: 膝关节置换术;老年;体力活动水平;锻炼自我效能;影响因素

Physical activity level and its influencing factors in elderly patients after knee arthroplasty

Authors: 1ZHOU Yujun, 1GAO Huiqiu, 1GU Yilu
1 Department of Joint Surgery, Ninth People’s Hospital of Wuxi, Wuxi Jiangsu 214000, China

CorrespondingAuthor: ZHOU Yujun Email: zhouyujun209@163.com

DOI: 10.3978/j.issn.2095-6959.2022.04.024

Abstract

Objective: To investigate the level of physical activity and its influence in elderly patients after knee arthroplasty. Methods: A total of 90 elderly patients undergoing knee arthroplasty who were admitted to our hospital from January 2020 to January 2021 were selected. The International Physical Activity Questionnaire, the Physical Activity-Self-Regulation Questionnaire, and the Exercise Self-Efficacy Scale were used to evaluate the level of physical activity level, physical activity motivation, exercise self-efficacy 3 months after surgery, and the factors affecting physical activity level were analyzed by single factor and multiple factors. Results: Among the 90 patients, 22 cases were low physical activity levels, 55 cases were moderate physical activity levels, and 13 cases were high physical activity levels. Among them, daily physical activities consume the most energy, followed by exercise and leisure entertainment, and again for daily life. transportation. There was a statistically significant difference in the physical activity level of patients with different genders and marital status (P<0.05). Multivariate analysis showed that marital status, body mass index (BMI), knee function and pain were associated with moderate physical activity levels Influencing factors (P<0.05); gender, marital status, physical activity-self-regulation, exercise self-efficacy, BMI, knee function and pain were the influencing factors of high physical activity level (P<0.05). Conclusion: The physical activity level of elderly patients after knee arthroplasty is moderately low. Clinically, attention should be paid to the patient's gender, marital status, physical activity-self-regulation and exercise self-efficacy, and postoperative physical activity intervention should be strengthened.
Keywords: knee arthroplasty; elderly; physical activity level; exercise self-efficacy; influencing factors