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骨科老年患者术后运动恐惧的范围综述

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目的 对骨科老年患者术后运动恐惧的研究进行范围审查,梳理运动恐惧的现状、危险因素、不良影响、测评工具和干预方法等,为促进患者积极康复提供参考依据.方法 以范围综述方法学为指导,计算机检索中国知网、万方数据库、中国生物医学文献数据库、Web of Science、PubMed、CINAHL、Cochrane Library数据库,检索时限为建库至2023年6月17日,由2名研究者筛选文献、汇总和系统分析.结果 最终纳入19篇文献.骨科老年患者术后运动恐惧的发生率为27.27%~67.98%,主要应用坦帕运动恐惧评分量表和恐动症简表2种运动恐惧测评工具.患者运动恐惧的影响因素包括人口学因素、睡眠状态、社会心理因素、疼痛程度、运动自我效能.干预方法包括认知行为疗法、功能锻炼、健康教育及综合干预措施等.结论 骨科老年患者术后运动恐惧发生率较高,受多重因素影响,还需要加强在骨科老年患者中的本土化测评工具研究,及时识别骨科老年患者术后运动恐惧.骨科老年患者术后运动恐惧目前最常用的干预方法是认知行为疗法,干预时间尚停留在住院期间,未来有待在家庭和社区中、互联网技术层面发展和完善.
A scoping review of kinesiophobia research in elderly orthopedic postoperative patients
Objective This review aims to examine the literature on postoperative exercise-related fear in geri-atric orthopedic patients,elucidating current trends,risk factors,adverse effect,evaluative instruments and interven-tions to aid their rehabilitation.Methods Employing the scoping review framework of Arksey and O'Malley,a sys-tematic electronic search was performed across databases including CNKI,Wanfang Database,China Biomedical Lit-erature Database,Web of Science,PubMed,CINAHL,and the Cochrane Library of Evidence-Based Medicine,up to June 17,2023.Literature screening,summarization,and analysis were collaboratively conducted by 2 researchers.Results Finally,19 relevant publications were included.Evidence indicates a prevalence of exercise-related fear af-ter orthopedic surgery in the elderly ranging from 27.27%to 67.98%,contributing to significant negative health out comes.2 assessment tools were identified,including Tampa Scale for Kinesiophobia(TSK-17)(the most commonly used)and Tampa Scale for Kinesiophobia(TSK-11).Key determinants of exercise fear encompass demographic elements,sleep quality,socio-psychological aspects,pain intensity,and exercise self-efficacy.Interventions currently included cognitive-behavioral therapy,functional exercise,health education,and multifaceted intervention strategies.Conclusion The high incidence of postoperative exercise-related fear in the geriatric orthopedic cohort is influenced by various factors,and it is necessary to promote the development of culturally adapted evaluative tools.Immediate identifica-tion and intervention for this fear in such patients are crucial.To date,cognitive-behavioral therapy is the predomi-nant intervention,typically administered in hospital settings.Future strategies should extend to home and community environments,embrace longitudinal studies,and integrate digital technology for comprehensive management.

AgedOrthopaedicPostoperativeKinesiophobiaScoping ReviewEvidence-Based Nursing

徐榕璟、贺旭妍、贾守梅

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200032 上海市 复旦大学护理学院

老年 骨科 术后 运动恐惧 范围综述 循证护理学

复旦大学护理学院"心理与精神健康"一流护理学科建设项目

FNSYL202302

2024

中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
年,卷(期):2024.59(5)
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