膝骨關節炎病人執行關節置換術後運動恐懼症之評估與照護

膝骨關節炎是老年人下肢功能退化，進而影響整體健康之重要健康問題。膝關節置換手術被認為是具有成效的治療之一，術後導致運動恐懼症因而延遲運動之術後障礙經常被忽略。臨床上對於關節置換術後運動恐懼症之評估與照護相關文獻付之闕如，且對於術後疼痛及傷口照護重視程度高於運動恐懼症，忽略了恐懼影響個案運動及日常生活功能恢復之影響。本文針對運動恐懼之定義、原因、評估工具、及照護策略進行文獻回顧，並運用臨床案例進行評估，進而依實證建議提供日常生活功能導向訓練及心理治療照護策略；期能藉由本文增加醫療健康相關照護人員對於術後運動恐懼症的認識、評估與照護之新知，進而運用於臨床中，跨領域提升以病人為中心之整體照護品質。

關鍵字

膝骨關節炎；關節置換術；運動恐懼症

並列摘要

Osteoarthritis of the knee is an important issue that leads to the deterioration of lower limb function in the elderly, which in turn affects overall health. Beside conservative treatment, surgery is considered one of the most effective treatments for osteoarthritis of the knee. However, postoperative kinesiophobia that involves excessive fear related to movement and exercise can cause delayed postoperative rehabilitation and exercise, is often overlooked. Clinical evaluation and care after knee arthroplasty mainly involve postoperative pain management and wound care. The effects of kinesiphobia on exercise and activity in daily life are often ignored. Therefore, the assessment and care of kinesiophobia have to be carried out in the clinical setting. This paper conducted a literature review examining the definition, cause, assessment tools for assessing clinical cases, and care strategies of kinesiophobia. Care strategies of kinesiophobia that provide a more holistic patient-centred assessment, function and activities of daily living training, and psychotherapeutic care are discussed. It is hoped that through this paper health care professional gain new information on kinesiophobia assessment and care, and can apply patient care skills into clinical care to improve the overall care quality for clients.

並列關鍵字

kinesiophobia ； knee arthroplasty ； knee osteoarthritis

參考文獻

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