The effects of IARA intervention on kinesiophobia and hip function in patients undergoing total hip replacement / 中国实用护理杂志

ABSTRACT

Objective:To observe the the effects of Incontro, Alleanza, Responsabilita, Autonomia (IARA) intervention on kinesiophobia and hip function in patients undergoing total hip replacement.Methods:Totally 136 paitents undergoing total hip replacement in our hospital from Mar 2019 to Mar 2020 were selected and assigned into 2 groups randomly (68 cases each group) according to the random number table. The control group received nursing care according to the routine nursing path of total hip arthroplasty, the observation group was given IARA intervention on the basis of routine nursing. Score of Tampa Scale for Kinesiophobia and Harris Hip Score between the 2 groups were compared before and after intervention.Results:The scores of terror in observation group were 52.12±8.32, 43.77±6.05, 39.55±6.29, 33.64±5.92 at before operation, 1d, 7d, and 1 month after operation; those in control group were 53.54±7.29, 52.56±5.82, 46.25 ±7.33, 44.73±6.37, respectively; which in observation group decreased more significantly with time ( Finter group and Finter time values were 31.041, 15.094, P<0.001); the hip function score in observation group at 15 days before operation, 7 d, 1 month after operation were 47.57±5.24, 57.04±6.74, 85.58±7.22 respectively, those in control group were 48.23±6.38, 53.51±7.24, 73.32±7.93; which in observation group increased more significantly with time ( Finter group and Finter time values were 30.008, 13.034, 15.094, P<0.001). Conclusion:IARA intervention can reduce the severity of kinesiophobia in patients undergoing total hip replacement, and improve their hip function after surgery.