强直性脊柱炎患者运动恐惧的潜在类别及影响因素分析  

Potential categories and the influencing factors of kinesiophobia in patients with ankylosing spondylitis

作　　者：俞慧子 王笑笑 张国丽 王程 孔瑾璟 陈雪 武丽君 王艳[1] Yu Huizi;Wang Xiaoxiao;Zhang Guoli;Wang Cheng;Kong Jinjing;Chen Xue;Wu Lijun;Wang Yan(Nursing Department,Medical College,Shihezi University,Shihezi 832099,China)

机构地区：[1]石河子大学医学院护理系,新疆石河子832099 [2]新疆类风湿关节炎临床医学研究中心

出　　处：《护理学杂志》2025年第3期86-91,共6页Journal of Nursing Science

基　　金：新疆维吾尔自治区重点研发计划项目(2022B03002-1)。

摘　　要：目的 了解强直性脊柱炎患者运动恐惧的潜在类别,分析不同类别患者特征并探讨相关影响因素。方法 采用便利抽样法,选取住院及门诊就诊的强直性脊柱炎患者220例,采用一般资料调查表、中文版运动恐惧量表、巴氏强直性脊柱炎疾病活动指数、巴氏强直性脊柱炎躯体功能指数、多维运动自我效能量表进行调查。结果 强直性脊柱炎患者运动恐惧得分为43.00(37.25,47.00),其中75.00%存在运动恐惧;患者的运动恐惧水平存在3个类别,分别为低水平运动恐惧组(25.91%)、中等水平运动恐惧组(55.46%)和高水平运动恐惧组(18.63%)。logistic回归分析显示,家族史、每周功能锻炼、每周参与体育运动、是否接受过运动相关健康教育或专业指导、疾病活动指数、躯体功能指数和运动自我效能是患者运动恐惧类别的影响因素(均P<0.05)。结论 强直性脊柱炎患者运动恐惧处于中等偏高水平,且具有明显的分类特征,其分类特征受多因素影响。临床护理人员需根据不同类别人群的特征及影响因素进行精准化干预,以降低强直性脊柱炎患者运动恐惧水平,提升运动治疗效果。Objective To understand the potential categories of kinesiophobia in patients with ankylosing spondylitis,and to analyze the characteristics and influencing factors of patients in each category.Methods A total of 220 outpatients and inpatients with ankylosing spondylitis were selected by utilizing convenience sampling method,then they were investigated by using a general information questionnaire,the Tampa Scale for Kinesiophobia(TSK),the Bath Ankylosing Spondylitis Disease Activity Index(BASDAI),the Bath Ankylosing Spondylitis Functional Index(BASFI),and the Multidimensional Self-efficacy for Exercise Scale(MSES).Results The participants′ TSK score was 43.00(37.25,47.00),and 75.00% of them experienced kinesiophobia.The patients′ level of kinesiophobia could be divided into three categories:low level kinesiophobia group(25.91%),medium level kinesiophobia group(55.46%),high level kinesiophobia group(18.63%).Logistic regression analysis showed that,family history,whether performing functional exercise every week,whether participating in sports every week,whether received health education or professional guidance on exercise,disease activity index,physical function index and exercise self-efficacy were the main influencing factors of the potential categories of kinesiophobia in patients with ankylosing spondylitis(all P<0.05).Conclusion The kinesiophobia in patients with ankylosing spondylitis is at a medium and above level,and it has obvious classification characteristics,which are affected by many factors.Clinical nurses should provide precise interventions according to the characteristics and influencing factors of different groups of patients,so as to reduce their level of kinesiophobia and improve the effect of exercise therapy.

关 键 词：强直性脊柱炎 运动恐惧 疾病活动指数 躯体功能指数 运动自我效能 功能锻炼 健康教育 潜在剖面分析 

分 类 号：R473.5[医药卫生—护理学] R395.1[医药卫生—临床医学]