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要旨:人工膝関節置換術(Total Knee Arthroplasty;以下,TKA)後患者の破局的思考は生活の質に影響を与える要因である.本研究は,COPMに基づいた目標設定と介入が破局的思考と疼痛に与える影響を検討することを目的とした.TKA後患者を対象とし,COPM群47名とControl群45名に分類した.評価指標として破局的思考にはPain Catastrophizing Scale(以下,PCS),疼痛にはNumerical Rating Scale(以下,NRS)を測定し,分散分析と多重比較にて解析した.その結果,COPM群においてPCS下位尺度得点である無力感に交互作用を認めた.本結果より,TKA後患者に対する作業療法介入の有用性が示唆された.
Pain catastrophizing has been reported to affect quality of life after total knee arthroplasty (TKA). This study aimed to determine pain catastrophizing and pain based on the Canadian Occupational Performance Measure (COPM), using a goal setting intervention. Patients who underwent TKA were classified into a COPM group (n=47) and a control group (n=45). Outcome indices were measured for pain catastrophizing through the Pain Catastrophizing Scale (PCS) and for pain through the Numerical Rating Scale (NRS). Dates were analyzed using analysis of variance and post hoc analysis. A significant difference was found between the study groups and in the interaction time in the COPM group based on helplessness. The results demonstrate the effectiveness of occupational therapy intervention after TKA.
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