心脏开胸术后恐动症调查及其与患者临床特征的关系研究  

Investigation of Kinesiophobia after Cardiac Thoracic Surgery and Its Relationship with Clinical Characteristics of Patients

作　　者：胡小静 程彦伶 段晓晓 徐先先 乔建红[1] HU Xiaojing;CHENG Yanling;DUAN Xiaoxiao;XU Xianxian;QIAO Jianhong(Department of Nursing and Rehabilitation,Shandong University,Jinan,Shandong 250012,China;Department of rdiac vascular surgery,The First Affiliated Hospital of Shandong First Medical University(Qianfoshan Hospital of Shandong),Jinan,Shandong 250012,China)

机构地区：[1]山东大学护理与康复学院,山东济南250012 [2]山东第一医科大学第一附属医院(山东省千佛山医院)心脏大血管外科,山东济南250014

出　　处：《中国医药指南》2025年第2期36-38,共3页Guide of China Medicine

摘　　要：目的调查心脏开胸术后恐动症发生情况,并分析其与患者临床特征的关系。方法选取2023年10月至2024年5月山东第一医科大学第一附属医院收取的86例心脏开胸手术患者作为研究对象,心脏病患者运动恐惧量表(TSK-H)≥38分共53例,恐动症发生率为61.63%,纳入观察组,其余33例患者纳入对照组。分析恐动症发生与患者临床特征的关系。结果两组CPSS、MCMQ评分、SSRS评分及HADS评分比较,差异均有统计学意义(P<0.05)。进行多因素Logistic回归分析,结果显示,CPSS评分、MCMQ评分及SSRS评分是术后恐动症的独立影响因素(P<0.05)。结论心脏开胸手术患者术后存在恐动症风险,其发生与CPSS评分、MCMQ应对方式及SSRS评分相关。Objective To investigate the occurrence of postoperative fear of movement after cardiac thoracic surgery and its relationship with clinical characteristics of patients were analyzed.Methods A total of 86 patients who underwent cardiac thoracic surgery at The First Affiliated Hospital of Shandong First Medical University from October 2023 to May 2024 were selected as the research subjects.53 heart disease patients with Tampa Scale for Kinesiophobia-Heart(TSK-H)score≥38 points were included in the observation group,with a kinesiophobia incidence rate of 61.63%.The remaining 33 patients were included in the control group.The relationship between the occurrence of kinesiophobia and clinical characteristics of patients was analyzed.Results Comparisons of CPSS,MCMQ,SSRS,and HADS scores between the two groups showed statistically significant differences(P<0.05).Multivariate logistic regression analysis showed that CPSS score,MCMQ score,and SSRS score were independent influencing factors of postoperative kinesiophobia(P<0.05).Conclusions The patients who underwent open heart surgery are at risk of developing postoperative kinesophobia,which is associated with CPSS scores,MCMQ coping strategies,and SSRS scores.

关 键 词：术后恐动症 心脏开胸 临床特征 相关因素 

分 类 号：R655[医药卫生—外科学]