全膝關(guān)節(jié)置換術(shù)后病人恐動癥列線圖預(yù)測模型的構(gòu)建

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Construction of Nomogram prediction model for kinesiophobia in patients underwent total knee arthroplasty

LEI Mengdi， ZHANG Zhuoqi， PAN Lanxia， SONG Jing

Nursing College， Henan University of Chinese Medicine， Henan 450046 China

Corresponding Author  PAN Lanxia， E?mail： [email protected]

Abstract  Objective：To analyze the influencing factors of kinesiophobia in patients underwent total knee arthroplasty（TKA），and establish and verify a Nomogram model.Method：A total of 335 patients who underwent total knee arthroplasty in a tertiary grade A hospital in Henan province from January to October 2021 were selected as the research objects.The general information，the occurrence of kinesiophobia，anxiety，depression and social support of the patients were investigated.The influencing factors of kinesiophobia in patients undergoing total knee arthroplasty were analyzed，and the Nomogram model was established and verified.Results：Logistic regression analysis showed that age，VAS score，complications，depression and negative coping were the risk factors of kinetophobia，self?efficacy and social support were the protective factors of kinetophobia.The consistency index of Nomogram model for predicting kinesiophobia after total knee replacement was 0.849，the AUC of nomogram model was 0.741，the sensitivity of prediction model was 78.94%，the specificity was 97.18%.Conclusion：The patient's age，pain level，total knee arthroplasty，complications，depression，negative coping，self?efficacy，social support could affect the occurence of kinesiophobia.The constructed Nomogram prediction model has good specificity and sensitivity，and it is helpful for clinical workers to judge the occurrence of kinesiophobia in patients underwent total knee arthroplasty.

Keywords  total knee arthroplasty； kinesiophobia； influencing factors； Nomogram model； investigation

摘要  目的：分析全膝關(guān)節(jié)置換術(shù)后病人發(fā)生恐動癥的影響因素，建立列線圖預(yù)測模型并驗證。（剩余12428字）