Knowledge attitude, and practice of patients with knee osteoarthritis towards perioperative functional exercise after total knee arthroplasty: a cross-sectional study

被引:0
作者
Li, Houxi [1 ]
Su, Qingqing [2 ]
Qin, Lei [3 ,4 ]
Li, Qi [2 ]
Li, Yake [5 ]
Wang, Chunyan [6 ]
Zhu, Houxia [6 ]
Li, Haiyan [2 ,6 ]
机构
[1] Qingdao Univ, Dept Orthoped, Affiliated Hosp, Qingdao, Peoples R China
[2] Qingdao Univ, Dept Joint Surg, Affiliated Hosp, Qingdao, Peoples R China
[3] Shandong First Med Univ, Dept Orthoped & Joint Surg, Affiliated Hosp 1, Jinan, Peoples R China
[4] Shandong Prov Qianfoshan Hosp, Jinan, Peoples R China
[5] Qingdao Univ, Sch Nursing, Qingdao, Peoples R China
[6] Lingshui Li Autonomous Cty Peoples Hosp Hainan Pro, Hainan, Peoples R China
关键词
Knee osteoarthritis; Perioperative functional exercise; Total knee arthroplasty; Cross-sectional study; PHYSICAL-ACTIVITY; TOTAL HIP; REHABILITATION; MOTION; RANGE; REVISION; STRENGTH; UPDATE; RETURN;
D O I
10.7717/peerj.19511
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: To investigate the knowledge, attitude, and practice (KAP) in patients with knee osteoarthritis (OA) towards perioperative functional exercise after total knee arthroplasty (TKA). Methods: The cross-sectional survey enrolled knee OA patients in two tertiary public hospitals at Shandong Province between September 2023 and January 2024. Demographic characteristics, KAP scores, and Tampa Scale for Kinesiophobia (TSK) scores were gathered via a self-made questionnaires. Results: A total of 583 valid questionnaires were collected, 65.01% were females and 48.89% over 65. The average scores of knowledge, attitude, practice and TSK were 11.17 +/- 4.31 (possible range: 0-16), 21.78 +/- 2.57 (possible range: 6-30), 35.44 +/- 5.80 (possible range: 9-45), and 39.21 +/- 10.75 (possible range: 17-68), respectively. Spearman correlation analysis showed positive correlation between knowledge and attitude (r = 0.3406, p < 0.001), attitude and practice (r = 0.3464, p < 0.001), attitude and practice (r = 0.6390, p < 0.001), negative correlation between TSK and knowledge (r = -0.3663, p < 0.001), attitude (r = -0.2937, p < 0.001), and practice (r = -0.3970, p < 0.001), respectively. Path analysis found that attitude, underlying diseases, occupation, total knee arthroplasty had direct effects on practice. Knowledge, age, education level, residence, diagnosis time, marital status had indirect effects on practice. Total knee arthroplasty had direct and indirect effects on practice (all p < 0.05). Conclusions: While most patients held a positive attitude and practice, concerns and misconceptions regarding perioperative exercises emerged as urgent issues. It is imperative to implement targeted interventions to enhance adherence by addressing factors influencing KAP.
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页数:18
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