胸腔镜术后肺癌患者恐动症的影响因素分析  

Influencing factors of kinesiophobia in lung cancer patients after thoracoscopic surgery

作　　者：李闯 张岚 林游备 郭欣如 林可心 路燕燕 赵俊玲 Li Chuang;Zhang Lan;Lin Youbei;Guo Xinru;Lin Kexin;Lu Yanyan;Zhao Junlin(School of Nursing,Jinzhou Medical University,Jinzhou 121001,China)

机构地区：[1]锦州医科大学护理学院,辽宁锦州121001 [2]锦州医科大学附属第一医院护理部 [3]锦州医科大学附属第一医院胸外科

出　　处：《护理学杂志》2025年第7期39-43,共5页Journal of Nursing Science

基　　金：2021年锦州医科大学横向科研项目(2021016);锦州市指导性科技计划项目(JZ2023B087)。

摘　　要：目的探讨经胸腔镜术后肺癌患者恐动症的影响因素,为制订针对性干预措施提供参考。方法采用便利抽样方法,于2024年6-11月选择480例经胸腔镜手术的肺癌患者为研究对象。通过一般资料调查表、恐动症评分量表、视觉模拟评分法、自我效能感量表、简易应对方式问卷、医院焦虑抑郁量表及社会支持评定量表进行数据收集,使用LASSO回归筛选特征变量,对筛选出的特征变量进行logistic回归分析。结果肺癌术后患者恐动症得分为(40.18±14.51)分,恐动症发生率为39.17%。个人月收入、文化程度、手术史、疼痛程度、自我效能感、社会支持水平、焦虑水平及积极应对是影响术后患者恐动症的因素(均P<0.05)。结论肺癌术后患者恐动症发生率较高,临床医护人员应重点关注收入较低、文化程度不高、有手术史、疼痛程度及焦虑情绪较重的患者,并通过干预提高患者的自我效能感和社会支持水平,鼓励患者采取积极应对方式应对康复训练,以降低恐动症发生的风险。Objective To explore the factors influencing kinesiophobia in lung cancer patients following thoracoscopic surgery,and to provide a basis for the development of targeted interventions.Methods A convenience sampling method was employed to select 480 lung cancer patients who underwent thoracoscopic surgery from June to November 2024.Data were collected using a general information questionnaire,the Kinesiophobia Scale(TSK),the Visual Analog Scale(VAS),the Self-Efficacy Scale,the Simplified Coping Style Questionnaire,the Hospital Anxiety and Depression Scale,and the Social Support Rating Scale.LASSO regression was used to screen feature variables,followed by logistic regression analysis of the selected variables.Results The average TSK score among the 480 patients was(40.18±14.51)points,with a kinesiophobia incidence rate of 39.17%.Factors influencing kinesiophobia in postoperative patients included personal monthly income,education level,surgical history,pain intensity,self-efficacy,social support level,anxiety level,and positive coping styles(all P<0.05).Conclusion The incidence of kinesiophobia in lung cancer patients after thoracoscopic surgery is relatively high.Clinical healthcare providers should pay particular attention to patients with lower income,lower education levels,a history of surgery,higher pain intensity,and elevated anxiety.Interventions should aim to enhance patients′self-efficacy and social support levels,while encouraging the adoption of positive coping strategies to reduce the risk of kinesiophobia during rehabilitation training.

关 键 词：肺癌 胸腔镜手术 恐动症 康复锻炼 疼痛 自我效能 积极应对 康复护理 

分 类 号：R473.6[医药卫生—护理学]