Change trajectory and influencing factors of kinesiophobia level in patients with total knee arthroplasty
Objective To explore the trajectory of kinesiophobia and its influencing factors in total knee arthro-plasty(TKA),and to provide reference for the early development of targeted interventions after surgery.Methods Convenience sampling method was used to select TKA patients admitted to our hospital from October 2021 to June 2022 as the research objects.The general information questionnaire,Kinesiophobia Assessment Scale,Pain Cata-strophizing Scale,Social Support Scal,and General Self-Efficacy Scale were used for investigation.The degree of patients with kinesiophobia was evaluated at 1 day before discharge(T1),1 month after discharge(T2),3 months after discharge(T3),and 6 months after discharge(T4),respectively.The latent variable growth model was used to identify the potential categories of change trajectory of kinesiophobia,and the influencing factors were analyzed by multivariate logistic regression.Results The level of kinesiophobia in 271 TKA patients showed a downward trend within half a year after discharge.The trajectory of kinesiophobia could be divided into high kinesiophobia decline group(34％,C1 group),moderate kinesiophobia decline group(28％,C2 group),and no kinesiophobia group(38％,C3 group).The results of logistic regression analysis showed that,with the no kinesiophobia group as the reference variable,patients aged 60-70(OR=2.715,P=0.021,95％CI was 1.161-6.351)and 70 and above(OR=3.136,P=0.011,95％CI was 1.306-7.530),with high comorbidities(OR=2.275,P=0.012,95％CI was 1.199-4.318),high pain catastrophizing level(OR=3.434,P＜0.001,95％CI was 1.757-6.711),and low social support level(OR=3.378,P=0.003,95％CI was 1.494-7.634)were more likely to enter the C1 group,while patients aged 60-70(OR=3.626,P=0.008,95％CI was 1.390-9.460)and 70 and above(OR=3.669,P=0.006,95％CI was 1.449-9.291),with low social support(OR=3.378,P=0.003,95％CI was 1.494-7.634)and high self-efficacy(OR=3.606,P=0.009,95％CI was 1.378-9.439)were more likely to enter the C2 group.With the C3 group as the reference variable,patients with high comorbidities(OR=2.643,P=0.005,95％CI was 1.348-5.183)were more likely to enter the C3 group(all P＜0.05).Conclusion There are 3 different traj-ectories of kinesiophobia in TKA patients.Nurses should pay attention to patients with older age,more complica-tions,and higher levels of pain catastrophization,and improve postoperative kinesiophobia by providing appropriate social support and enhancing patients'sense of self-efficacy.
total knee arthroplastykinesiophobiarisk factorstrajectory
NETL
NSTL
万方数据
维普
