前交叉韧带重建术后患者恐动症现状及影响因素分析
Kinesiophobia and its influencing factors in patients after anterior cruciate ligament reconstruction
李莹 1杨巧巧 2党晨珀 2朱婷 3侯费祎2
作者信息
- 1. 中国人民解放军联勤保障部队第九四○医院运动医学科(甘肃兰州,730050);甘肃中医药大学护理学院
- 2. 中国人民解放军联勤保障部队第九四○医院运动医学科(甘肃兰州,730050)
- 3. 甘肃中医药大学护理学院
- 折叠
摘要
目的 探讨前交叉韧带重建术后患者恐动症现状及相关影响因素,为制订针对性护理干预提供参考.方法 随机选取行前交叉韧带重建术患者240例作为研究对象,采用一般资料调查表、恐动症Tampa 量表、医院焦虑抑郁量表、正念注意觉知量表、视觉模拟评分法、匹兹堡睡眠质量指数进行调查,行单因素分析和多因素logistic回归分析确定主要影响因素.结果 106例(44.17％)患者发生恐动症.logistic回归分析显示,正念水平、疼痛程度、抑郁、睡眠障碍和BMI是患者恐动症的主要影响因素(均P＜0.05).结论 前交叉韧带重建术后患者恐动症发生率偏高,其发生易受心理状态、BMI、疼痛程度及睡眠质量的影响.对前交叉韧带重建术后患者需加强心理干预及镇痛处理,改善其睡眠质量,以降低恐动心理,促进患者膝关节功能康复.
Abstract
Objective To explore the current status and influencing factors of kinesiophobia in patients after anterior cruciate ligament reconstruction,so as to provide a reference for developing targeted nursing intervention.Methods A total of 240 patients after ante-rior cruciate ligament reconstruction were randomly selected,then they were investigated by using a general information question-naire,the Tampa Scale for Kinesiophobia(TSK),the Hospital Anxiety and Depression Scale(HADS),the Mindful Attention Awareness Scale(MAAS),the Visual Analogue Scale(VAS)and Pittsburgh Sleep Quality Index(PSQI).Univariate analysis and multivariate logistic regression analysis were conducted to identify its major influencing factors.Results Totally 106 patients(44.17％)experienced kinesiophobia.Logistic regression analysis showed that,the scores of MAAS,VAS,depression,PSQI and BMI were the major influencing factors of kinesiophobia in patients(all P＜0.05).Conclusion The incidence of kinesiophobia in patients after anterior cruciate ligament reconstruction is high,which is easily affected by psychological state,BMI,pain degree and sleep quality.It is necessary to strengthen psychological intervention and pain management for this population,and improve their sleep quality,in order to reduce the level of kinesiophobia,and promote their rehabilitation of keen joint function.
关键词
膝关节/前交叉韧带重建术/恐动症/正念水平/疼痛/焦虑/抑郁/睡眠质量Key words
knee joint/anterior cruciate ligament reconstruction/kinesiophobia/mindfulness level/pain/anxiety/depres-sion/quality of sleep引用本文复制引用
基金项目
甘肃省卫生健康行业科研项目(GSWSHL2023-30)
出版年
2024
NETL
NSTL
万方数据