运动恐惧在学龄期四肢骨折患儿自我效能与早期功能锻炼依从性间的中介效应  

Mediating effect of kinesiophobia between self-efficacy and early functional exercise compliance in school-age children with limb fractures

作　　者：王利敏 方继红[1,2] 武凤芹 朱晶 陈婉宣 WANG Li-min;FANG Ji-hong;WU Feng-Qin;ZHU Jing;CHEN Wan-xuan(School of Nursing,Anhui Medical University,Hefei 230032,China;Dept.of Nursing Administration,Anhui Provincial Children’s Hospital,Hefei 230051,China;Dept.of Orthopedics,Anhui Provincial Children’s Hospital,Hefei 230051,China)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]安徽省儿童医院护理部,安徽合肥230051 [3]安徽省儿童医院骨科,安徽合肥230051

出　　处：《护理学报》2025年第3期1-5,共5页Journal of Nursing(China)

基　　金：安徽省卫健委课题项目(AHWJ2023A20371);安徽医科大学护理学院研究生青苗培育项目(hlqm12024025)。

摘　　要：目的探讨运动恐惧在学龄期四肢骨折患儿自我效能与早期功能锻炼依从性间的中介效应。方法采用便利抽样法,选取2023年10月—2024年3月行手术治疗的225例学龄期四肢骨折患儿为研究对象,采用一般资料调查表、运动恐惧评估量表、一般自我效能感量表、早期功能锻炼依从性量表进行调查,并分析运动恐惧、自我效能、早期功能锻炼依从性三者间的相关性和中介效应。结果回收有效问卷225份,学龄期四肢骨折患儿术后早期功能锻炼依从性总分为(16.69±3.06)分,自我效能总分为(27.13±4.22)分,运动恐惧总分为(41.12±5.27)分。自我效能与功能锻炼依从性呈正相关(r=0.442,P<0.01),运动恐惧与自我效能、功能锻炼依从性呈负相关(r=-0.381、-0.581,P<0.01)。中介效应分析结果显示:运动恐惧在自我效能与早期功能锻炼依从性间起部分中介作用(效应值为0.133),中介效应占比为41.43%。结论运动恐惧是自我效能和早期功能锻炼依从性的中介变量,临床医务人员可通过提高患儿自我效能水平,降低其运动恐惧心理,进而提高患儿术后早期功能锻炼的依从性。Objective To explore the mediating effect of kinesiophobia between self-efficacy and early functional exercise compliance in school-age children with limb fractures.Methods We conducted a cross-sectional study.A total of 225 school-age children with limb fractures who underwent surgical treatment in the Department of Orthopedics,Anhui Provincial Children’s Hospital from October 2023 to March 2024 were selected as the research objects by convenient sampling.The General Information Questionnaire,Tampa Scale for Kinesiophobia,General Self-Efficacy Scale and Early Functional Exercise Compliance Scale were used to conduct the survey.The relationship among kinesiophobia,self-efficacy and early functional exercise compliance was analyzed.Results The total scores of early functional exercise compliance,self-efficacy and kinesiophobia were 16.69±3.06,27.13±4.22 and 41.12±5.27 respectively.Pearson correlation analysis showed that self-efficacy was positively correlated with functional exercise compliance(r=0.442,P<0.01);Kinesiophobia was negatively correlated with self-efficacy and functional exercise compliance(r=-0.381,-0.581,P<0.01).Mediating effect analysis showed that kinesiophobia played a partial mediating role between self-efficacy and early functional exercise compliance,with an effect value of 0.133,and the mediating effect accounted for 41.43%.Conclusion Kinesiophobia is the mediating variable between self-efficacy and early functional exercise compliance.Clinical medical staff can reduce children’s exercise fear by enhancing their self-efficacy,and improve their compliance of early functional exercise after surgery.

关 键 词：运动恐惧 自我效能 四肢骨折 早期功能锻炼依从性 中介效应 

分 类 号：R473.72[医药卫生—护理学]