Analysis of the Current Situation and Influencing Factors of Motion Phobia in Patients after Total Hip Arthroplasty
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.
Total hip arthroplastyKinesiophobiaInfluencing factors