浙江省腰椎微创术患者运动恐惧心理及影响因素分析  

Kinesiophobia and Influencing Factors of Patients with Minimally Invasive Lumbar Surgery in Zhejiang Province

作　　者：王凌燕 张春梅[3] 王宋超 王荣 金熙熙[3] 邹翼霜 吴亚美 杨汉喜 Wang Lingyan et al(The Second School of Medicine, Wenzhou Medical University, Wenzhou , 32500)

机构地区：[1]温州医科大学第二临床学院,温州325000 [2]嘉兴市第一医院,嘉兴314000 [3]温州医科大学附属第二医院,温州325027 [4]嘉兴市第二医院,嘉兴314000

出　　处：《医学与社会》2018年第8期78-79,89,共3页Medicine and Society

基　　金：浙江省医药卫生科技计划"公立医院医疗服务信息披露机制";编号为2014KYA146

摘　　要：目的:了解腰椎微创术后患者运动恐惧心理现状,分析其主要影响因素。方法:对浙江省109例腰椎微创术后患者进行恐动坦帕评分(TSK)量表调查。结果:腰椎微创术后患者运动恐惧发生率为51.38%。单因素分析显示,性别、家庭情况、躯体疼痛水平、疼痛状态与运动恐惧发生有统计学意义(P<0.05)。Logistic回归分析显示,女性、家庭不和谐、躯体疼痛度高、持续性疼痛是影响腰椎微创术后患者运动恐惧的主要因素。结论:腰椎微创术后患者运动恐惧发生率较高,应引起临床医护人员的重视,采取有针对性的干预措施,促进患者早日康复。Objective： To investigate the current situation of kinesiophobia and its influencing factors in patients with minimally invasive lumbar surgery. Methods： Using TSK scale and general information questionnaire,we investigated 109 patients with lumbar spine minimally invasive surgery in Zhejiang Province. Results： The morbidity rate of the patients with minimally invasive surgery was 51. 38%. Single factor analysis showed that gender,family status,body pain level,pain state were statistically significant with motor fear（P0.05）. Logistic regression analysis showed that women,family relationships,physical pain and persistent pain were the main factors that affected the occurrence of postoperative fear of lumbar spinal surgery. Conclusion： Patients with lumbar minimally invasive surgery have a high incidence of kinesiophobia. The targeted intervention measures should be taken to promote the recovery of patients.

关 键 词：腰椎微创术 运动恐惧 影响因素 

分 类 号：R395.1[哲学宗教—心理学]