妊娠相关下腰痛孕妇运动恐惧现状及影响因素分析  

Current status and influencing factors of kinesiophobia in pregnant women with pregnancy-related low back pain

作　　者：曹宇 顾燕芳 张薇 荀静 吴兰君 Cao Yu;Gu Yanfang;Zhang Wei;Xun Jing;Wu Lanjun(School of Medicine,Jiangnan University,Wuxi 214000,China;Department of Gynecology,Affiliated Obstetrics and Gynecology Hospital of Jiangnan University,Wuxi 214000,China;Department of Obstetrics,Affiliated Obstetrics and Gynecology Hospital of Jiangnan University,Wuxi 214000,China;Center of Reproductive Medicine,Affiliated Obstetrics and Gynecology Hospital of Jiangnan University,Wuxi 214000,China)

机构地区：[1]江南大学医学院,无锡214000 [2]江南大学附属妇产医院妇科,无锡214000 [3]江南大学附属妇产医院产科,无锡214000 [4]江南大学附属妇产医院生殖医学中心,无锡214000

出　　处：《中华现代护理杂志》2025年第5期664-669,共6页Chinese Journal of Modern Nursing

基　　金：无锡市妇幼健康科研和适宜技术推广项目(FYKY202207)。

摘　　要：目的了解妊娠相关下腰痛(PLBP)孕妇运动恐惧现状及其影响因素,为临床制定干预方案提供参考。方法采用便利抽样法,选取2023年8—11月在江南大学附属妇产医院产科门诊常规产检的270名PLBP孕妇为调查对象,采用一般资料调查表、坦帕运动恐惧量表、国际版跌倒效能量表、孕妇运动自我效能量表、下腰痛知识调查表对其进行调查。采用多重线性回归分析探讨PLBP孕妇运动恐惧的影响因素。结果270名PLBP孕妇运动恐惧得分为(47.78±8.80)分,运动恐惧症发生率为89.3%(241/270)。多重线性回归分析结果显示,下肢水肿、疼痛程度、跌倒恐惧、运动自我效能、下腰痛知识是PLBP孕妇运动恐惧的影响因素(P<0.05)。结论PLBP孕妇运动恐惧水平较高,且影响因素较多,医护人员应综合考虑多种因素制定干预方案,以减轻PLBP孕妇运动恐惧,提高其活动水平。ObjectiveTo explore the current status of kinesiophobia in pregnant women with pregnancy-related low back pain(PLBP)and its influencing factors,so as to inform the clinical development of intervention programs.MethodsConvenience sampling was used to select 270 pregnant women with PLBP who underwent routine obstetric examination from August to November 2023 at the Obstetrics Clinic of Affiliated Obstetrics and Gynecology Hospital of Jiangnan University.Pregnant women were surveyed using the General Information Questionnaire,Tampa Scale for Kinesio-Phobia,Falls Efficacy Scale-International,Pregnancy Exercise Self-efficacy Scale,and Low Back Pain Knowledge Questionnaire.Multiple linear regression was used to explore the factors influencing kinesiophobia in pregnant women with PLBP.ResultsIn 270 pregnant women with PLBP,the kinesiophobia score was(47.78±8.80)and the prevalence of kinesiophobia was 89.3%(241/270).Multiple linear regression analysis showed that lower extremity edema,pain,fear of falling,exercise self-efficacy,and knowledge of low back pain were the factors influencing kinesiophobia in pregnant women with PLBP(P<0.05).ConclusionsPregnant women have a high level of kinesiophobia,and there are many influencing factors.Healthcare professionals should consider a variety of factors to develop an intervention program to reduce kinesiophobia and increase activity levels in pregnant women with PLBP.

关 键 词：妊娠腰痛 孕妇 运动恐惧 影响因素 横断面研究 

分 类 号：R47[医药卫生—护理学]