下肢动脉闭塞症患者运动恐惧影响因素分析  

An analysis of factors influencing the kinesiophobia in patients with lower extremity arterial occlusion

作　　者：武亚楠 马京华 于波 侯佳楠 苏坤 白建英 WU Yanan;MA Jinghua;SU Kun;HOU Jianan;YU Bo;BAI Jianying(Hebei University of Traditional Chinese Medicine,Shijiazhuang,Hebei,050200;Department of Peripheral Vascular Surgery,Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei,050013)

机构地区：[1]河北中医药大学,河北石家庄050200 [2]河北省中医院周围血管外科,河北石家庄050013

出　　处：《中西医结合护理》2024年第3期132-137,共6页Chinese Journal of Integrative Nursing

基　　金：河北省重点研发计划项目民生科技专项(19277765D);河北省中医药管理局科研计划项目(2020060);河北省中医药康养照护研究重点实验室(SZX2021025)。

摘　　要：目的探讨下肢动脉闭塞症患者运动恐惧的影响因素,为开展有针对性的护理措施提供依据。方法采用便利抽样的方法,选取河北省中医院2021年10月—2022年7月周围血管外科门诊就诊及收治入院的下肢动脉闭塞症患者为研究对象,经恐动症评分量表评定分值>37分的具有运动恐惧的100例患者作为运动恐惧组,并采取1:1配对的方法选取同期门诊就诊及住院治疗,且经恐动症评分量表评定分值≤37分的100名无运动恐惧的患者作为非运动恐惧组,采用视觉模拟评分量表(VAS)、汉密尔顿焦虑量表(HAMA)、自我效能感量表(GSES)、社会支持评定量表(SSRS)进行相关危险因素的评测,采用χ2检验和非条件Logistic回归分析进行统计分析。结果非条件Logistic回归分析结果显示,疼痛程度(OR=2.656)、焦虑情绪(OR=1.115)是运动恐惧的危险因素(P<0.05),而文化程度(OR=0.474)、较高的社会支持水平(OR=0.843)是运动恐惧的保护因素(P<0.05)。结论疼痛、焦虑情绪是下肢动脉闭塞性疾病患者发生运动恐惧的危险因素,医护人员应开展有针对性的护理措施,以降低运动恐惧发生率,提高运动依从性,促进患者康复。Objective To explore the factors influencing the kinesiophobia in patients with lower extremity arterial occlusive disease,and to provide evidence for targeted nursing measures.Methods A convenient sampling method was used to select the patients with lower extremity ar-terial occlusive disease in the peripheral vascular surgery outpatient department of Hebei Hospital of Traditional Chinese Medicine from October 2021 to July 2022.Totally 100 kinesiophobia pa-tients with the kinesiophobia score scale over 37 were selected as the case group,and 100 patients with or less than 37 points as control group through 1:1 matching method selection during the same period.The visual analog scale(VAS),Hamilton anxiety scale(HAMA),general self-effi-ciency scale(GSES),and social support revalued scale(SSRS)were used to evaluate the related risk factors.The χ^(2) inspection and unconditioned Logistic regression analysis were chose for statis-tical analysis.Results Unconditional logistic regression analysis showed that pain degree(OR=2.656)and anxiety mood(OR=1.115)were risk factors for kinesiophobia(P<0.05).Educa-tion level(OR=0.474)and high level of social support(OR=0.843)were protective factors for kinesiophobia(P<0.05).Conclusion Pain and anxiety are risk factors for kinesiophobia in pa-http://www.zxyjhhl.cn tients with lower limb arterial occlusive disease.Medical staff should carry out targeted nursing measures to reduce the incidence of kinesiophobia,improve exercise compliance and promote pa-tients'rehabilitation.

关 键 词：下肢动脉闭塞症 运动恐惧 危险因素 疼痛 

分 类 号：R543.5[医药卫生—心血管疾病]