文章摘要
赖婷,吴明珑,胡凯利,等.全髋关节置换术后病人运动恐惧现状及影响因素分析.骨科,2024,15(3): 258-262.
全髋关节置换术后病人运动恐惧现状及影响因素分析
Analysis of the Current Situation and Influencing Factors of Motion Phobia in Patients after Total Hip Arthroplasty
投稿时间:2023-12-21  
DOI:10.3969/j.issn.1674-8573.2024.03.012
中文关键词: 全髋关节置换术  恐动症  影响因素
英文关键词: Total hip arthroplasty  Kinesiophobia  Influencing factors
基金项目:湖北省卫生健康委2023~2024年度科研项目(WJ2023F002)
作者单位E-mail
赖婷 华中科技大学同济医学院护理学院武汉 430030华中科技大学同济医学院附属同济医院骨科武汉 430030  
吴明珑 华中科技大学同济医学院附属同济医院骨科武汉 430030 1924212533@qq.com 
胡凯利 华中科技大学同济医学院附属同济医院骨科武汉 430030  
周欣可 华中科技大学同济医学院护理学院武汉 430030华中科技大学同济医学院附属同济医院骨科武汉 430030  
胡嘉欣 华中科技大学同济医学院护理学院武汉 430030华中科技大学同济医学院附属同济医院骨科武汉 430030  
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中文摘要:
      目的 调查全髋关节置换术(THA)后病人运动恐惧现状及其影响因素,为临床干预提供依据。方法 选取2023年3月至2023年6月武汉市3所三级甲等医院THA术后1~2 d的病人,使用一般资料调查表、Tampa运动恐惧症量表(TSK)、运动自我效能感量表(SEE)、Groningen骨科社会支持量表(GO-SSS),广泛性焦虑障碍量表(GAD)-2、2条目病人健康问卷(PHQ-2)、疼痛视觉模拟量表(VAS)进行调查。结果 共发放问卷261份,有效回收249份,有效回收率为95.40%。249例THA术后病人TSK得分为(39.14±7.65)分,恐动症发生率为43.78%(109/249例)。多元线性回归分析结果显示,年龄、文化程度、合并慢性疾病、运动自我效能、焦虑抑郁情绪及疼痛程度是THA术后病人发生恐动症的主要影响因素(P<0.05)。结论 THA术后病人恐动症发生率较高,医护人员需加强对恐动症病人的早期评估及管理,鼓励多学科团队的合作,整合认知运动训练、行为疗法和心理干预等多种方法,提高病人康复锻炼积极性和自主性。
英文摘要:
      Objective To investigate the current status and influencing factors of motion phobia in patients after total hip arthroplasty (THA), and provide a basis for clinical intervention. Methods A total of 249 patients 1-2 days after THA in three tertiary hospitals in Wuhan from March 2023 to June 2023 were selected. The surveys were done using the General Information Questionnaire, Tampa Scale Kinekinesiophobia (TSK), Motor Self-Efficacy Scale (SEE), Groningen Orthopaedic Social Support Scale (GO-SSS), Generalized Anxiety Disorder (GAD) 2, Patient Health Questionnaire Depression Scale-2 (PHQ-2), and Visual Analogue Scale (VAS). Results A total of 261 questionnaires were distributed, and 249 were effectively collected, with an effective response rate of 95.40%. The kinesiophobia score of 249 patients after THA was (39.14±7.65), and the incidence rate was 43.78%. The results of multiple linear regression analysis showed that age, education level, comorbidities with chronic diseases, exercise self-efficacy, anxiety and depression, and pain were the main influencing factors for the development of kinesiophobia in patients after THA (P<0.05). Conclusion Medical staff should strengthen the early assessment and management of kinesophobia patients, encourage collaboration among multidisciplinary teams, integrate various methods such as cognitive motor training, behavioral therapy and psychological intervention, and improve the patients' enthusiasm and autonomy in rehabilitation exercise.
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