잠시만 기다려 주세요. 로딩중입니다.

무릎 전치환술 환자의 통증과 심리적 안녕에 관한 연구

A Study of Pain and Psychological Well-Being in Total Knee Replacement Patients

PNF and Movement 2020년 18권 2호 p.233 ~ 244
채정병, 정주현,
소속 상세정보
채정병 ( Chae Jung-Byung ) - Masan University Department of Physical Therapy
정주현 ( Jung Ju-Hyeon ) - Gimhae College Department of Physical Therapy

Abstract


Purpose: The study investigated pain and falls as psychological factors in Total Knee Replacement patients and examined the relationship between these factors.

Methods: Ninety-six total knee replacement patients aged 69.31±7.01 (male: 21, female: 75) participated in the study. Postsurgery pain was assessed on a visual analog scale, and fall risk scores were evaluated on fall fear and fall efficacy scales. Other psychological factors assessed included national anxiety and trail anxiety, fear prevention, Beck depression score, and psychological health measures. The data were analyzed using SPSS version 22.0.

Results: A statistically significant correlation was found between pain before surgery and FES fall fear score before surgery (p < 0.05). A statistically significant correlation was found between pain after surgery and PWBS fall fear score after surgery (p < 0.05). A statistically significant correlation was found between state anxiety and PWBS, Trail anxiety (p < 0.05). A statistically significant correlation was also found between trail anxiety and BDI, PWBS (p < 0.05). State anxiety and fear avoidance before surgery were found to affect trail anxiety, and pain before surgery and fall fear score before surgery were found to affect FES. In addition, PWBS was found to affect BDI.

Conclusion: The study confirms that increased pain in Total Knee Replacement patients can be a risk factor for falls. In addition, fall fears increase fear avoidance and cause psychological deterioration. This suggests that efforts should be made to reduce pain and to manage psychological factors.

키워드

Total knee replacement; Pain; Fall; Anxiety

원문 및 링크아웃 정보

등재저널 정보