全髋关节置换术患者预防假体脱位知信行现状及影响因素分析
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1.川北医学院护理学院;2.巴中市中心医院骨科

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川北医学院2023年度校级科研发展计划项目(CBY23-QNB04)


Current status and influencing factors of knowledge, attitude and practice regarding prosthetic dislocation prevention in patients undergoing total hip arthroplasty
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    摘要:

    目的:调查全髋关节置换术(total hip arthroplasty,THA)术后患者预防假体脱位的知信行现状,分析知识、态度和行为之间的相关性及其影响因素,为开展分层健康教育和连续康复管理提供参考。方法:采用便利抽样法,选取2022年6月—9月南充市两所三级甲等医院骨科门诊部及住院部302例THA术后患者为研究对象,使用自编《全髋关节置换术患者预防假体脱位知信行问卷》进行面对面问卷调查,采用描述性统计、t检验、单因素方差分析、Pearson相关分析及多元线性回归分析。结果:THA术后患者预防假体脱位知识、态度、行为维度得分分别为(47.78±15.43)分、(51.37±9.94)分、(30.56±7.98)分,得分率分别为63.70%、85.62%、61.13%。Pearson相关分析显示,知识与态度、知识与行为、态度与行为得分均呈正相关(r=0.471、0.829、0.435,均P<0.001)。多元线性回归分析显示,年龄、婚姻状况、文化程度、就业状况、职业、是否首次行THA及康复过程中并发症情况是知识维度得分的影响因素;就业状况、职业及康复过程中并发症情况是态度维度得分的影响因素;年龄、就业状况、职业、首次行THA时间及康复过程中并发症情况是行为维度得分的影响因素(均P<0.05)。结论:THA术后患者预防假体脱位知信行总体有待提升,其中态度水平较高,知识和行为水平仍不足。临床护理人员应重点关注老年、低文化程度、无业、首次接受THA及缺乏并发症风险警示经历的患者,并将经济资源不足者纳入重点评估,实施分层、连续、可视化的健康教育和随访管理,以促进预防行为形成。

    Abstract:

    Objective: To investigate the current status of knowledge, attitude and practice (KAP) regarding prosthetic dislocation prevention among patients after total hip arthroplasty (THA), and to analyze the correlations among KAP dimensions and their influencing factors, so as to provide evidence for stratified health education and continuous rehabilitation management. Methods: By convenience sampling, 302 postoperative THA patients from the orthopedic outpatient and inpatient departments of two tertiary Grade A hospitals in Nanchong from June to September 2022 were surveyed face to face using a self-developed KAP questionnaire for prosthetic dislocation prevention. Descriptive statistics, t-test, one-way analysis of variance, Pearson correlation analysis and multiple linear regression were used. Results: The scores of knowledge, attitude and practice were 47.78±15.43, 51.37±9.94 and 30.56±7.98, respectively, with scoring rates of 63.70%, 85.62% and 61.13%. Pearson correlation analysis showed positive correlations between knowledge and attitude, knowledge and practice, and attitude and practice (r=0.471, 0.829 and 0.435, all P<0.001). Multiple linear regression showed that age, marital status, educational level, employment status, occupation, primary THA status and rehabilitation complications were influencing factors for knowledge scores; employment status, occupation and rehabilitation complications were influencing factors for attitude scores; age, employment status, occupation, time since primary THA and rehabilitation complications were influencing factors for practice scores (all P<0.05). Conclusion: The overall KAP level regarding prosthetic dislocation prevention among postoperative THA patients needs further improvement. Attitude is relatively positive, whereas knowledge and practice remain insufficient. Clinical nurses should focus on older adults, patients with lower educational levels, unemployed patients, primary THA recipients and patients without complication-related warning experiences, while also assessing patients with limited economic resources. Stratified, continuous and visual health education and follow-up management should be implemented to promote standardized preventive behaviors.

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  • 收稿日期:2026-06-10
  • 最后修改日期:2026-06-30
  • 录用日期:2026-09-07
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