目的 通过meta分析确定膝关节置换术后患者发生恐动症的危险因素。方法 计算机检索中国知网、万方医学数据库、维普数据库、中国生物医学数据库、PubMed、Embase、Cochrane Library、CI-NAHL、Web of Science数据库中关于膝关节置换术后患者发生恐动症危险因素的文献,按照纳入与排除标准,采用RevMan 5。4软件进行meta分析。结果 共纳入10篇文献,包含18个危险因素,meta分析结果显示,疼痛、个人应对方式、自我效能、社会支持、抑郁为膝关节置换术后患者发生恐动症的危险因素(OR=2。74、1。80、1。81、1。83、1。30,P<0。05)。结论 膝关节置换术后患者发生恐动症的危险因素较多,护理人员应针对主要危险因素,采用个性化、有针对性的干预措施,防止恐动症的发生。
Risk factors for kinesiophobia in patients after knee arthroplasty:a meta-analysis
Objective To determine the risk factors of kinesiophobia in patients undergoing knee ar-throplasty by meta-analysis.Methods The literatures on the risk factors of kinesiophobia in patients after knee arthroplasty were retrieved from CNKI,Wanfang,VIP,CBM,PubMed,Embase,Cochrane Library,CI-NAHL and Web of Science.According to the inclusion and exclusion criteria,meta-analysis was performed u-sing RevMan5.4 software.Results A total of 10 studies were included,including 18 risk factors.The results of meta-analysis showed that pain,personal coping style,self-efficacy,social support and depression were risk factors for kinesiophobia in patients undergoing knee arthroplasty(OR=2.74,1.80,1.81,1.83,1.30,P<0.05).Conclusion There are many risk factors for kinesiophobia in patients undergoing knee arthroplasty.Nursing staff should adopt personalized and targeted intervention measures to prevent the occurrence of kine-siophobia according to the main risk factors.