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脊柱骨折患者术后恐动水平及其与康复自我效能、康复依从性的相关性

Postoperative kinesiophobia level in patients with spinal fracture and its correlations with rehabilitation self-efficacy and rehabilitation compliance

    摘要
  • 摘要:
    目的 探讨脊柱骨折患者术后恐动水平及其与康复自我效能、康复依从性的相关性。
    方法 选取150例脊柱骨折手术患者为研究对象，收集所有患者一般资料。分析患者恐动症Tampa评分量表、康复自我效能量表、科室自制的康复依从性量表评分和术后活动疼痛采用视觉模拟评分法(VAS)。采用Pearson相关分析法分析患者恐动水平与康复自我效能、康复依从性的相关性。采用多元线性回归分析探讨患者恐动水平的影响因素。
    结果 脊柱骨折患者术后恐动水平总分为(57.14±3.12)分，处于高水平; 康复自我效能总分为(35.19±3.45)分，处于低水平; 康复依从性总分为(16.46±2.32)分，处于低水平。Pearson相关分析显示，恐动水平总分与康复自我效能总分、康复依从性总分呈负相关(P < 0.05)。单因素分析显示，不同文化程度、术后活动疼痛程度和有无术后并发症患者的恐动水平评分比较，差异有统计学意义(P < 0.05)。多元线性回归分析显示，康复自我效能(B=-0.271, 95%CI: -0.439~-0.103)、康复依从性(B=-0.168, 95%CI: -0.331~-0.004)、文化程度(B=0.190, 95%CI: 0.020~0.361)、术后并发症(B=0.403, 95%CI: 0.233~0.573)、术后活动疼痛(B=0.162, 95%CI: 0.003~0.320)是脊柱骨折患者术后恐动水平的影响因素。
    结论 脊柱骨折患者术后恐动水平较高，康复自我效能、康复依从性、文化程度、术后并发症和术后活动疼痛是恐动水平的影响因素。

     

    Abstract:
    Objective To investigate the kinesiophobia level in patients after spinal fracture surgery and their correlations with rehabilitation self-efficacy and adherence.
    Methods A total of 150 patients who underwent spinal fracture surgery were enrolled in this study. General information was collected from all patients. The Tampa Scale for Kinesiophobia, Self-Efficacy for Rehabilitation Outcomes Scale, department-developed Rehabilitation Adherence Scale and postoperative activity pain assessed using the Visual Analogue Scale (VAS) were analyzed. Pearson correlation analysis was used to examine the relationships of kinesiophobia level with rehabilitation self-efficacy and adherence. Multiple linear regression analysis was conducted to identify factors influencing kinesiophobia level.
    Results The total score of postoperative kinesiophobia level in patients with spinal fracture was (57.14±3.12), which was at a high level. The total score of rehabilitation self-efficacy was (35.19±3.45), which was at a low level. The total score of rehabilitation compliance was (16.46±2.32), which was at a low level. Pearson correlation analysis showed that the total score of kinesiophobia level was negatively correlated with the total score of rehabilitation self-efficacy and rehabilitation compliance (P < 0.05). Univariate analysis revealed statistically significant differences in scores of kinesiophobia level among patients with different educational levels, postoperative activity pain and the presence or absence of postoperative complications (P < 0.05). Multiple linear regression analysis identified self-efficacy (B=-0.271, 95%CI, -0.439 to -0.103), adherence (B=-0.168, 95%CI, -0.331 to -0.004), educational level (B=0.190, 95%CI, 0.020 to 0.361), postoperative complications (B=0.403, 95%CI, 0.233 to 0.573) and postoperative activity pain (B=0.162, 95%CI, 0.003 to 0.320) were the influencing factors of postoperative kinesiophobia level in patients with spinal fracture.
    Conclusion The patients with spinal fracture have a higher level of kinesiophobia. The influencing factors of level of kinesiophobia are rehabilitation self-efficacy, rehabilitation compliance, education level, postoperative complications and postoperative activity pain.

     

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