Zhong Gui-Qin, Lin Bi-Hua, Chen Yu-Xuan, Lin Yan-Juan, Chen Chun-Mei
Department of Neurosurgery Nursing, Fujian Medical University Union Hospital, Fuzhou, 350001, People's Republic of China.
College of Nursing, Fujian Medical University, Fuzhou, 350108, People's Republic of China.
Neuropsychiatr Dis Treat. 2023 Aug 2;19:1755-1761. doi: 10.2147/NDT.S416271. eCollection 2023.
To investigate the prevalence of postoperative kinesiophobia in patients with cervical spondylotic myelopathy (CSM) and factors influencing the occurrence of kinesiophobia, to provide relevant basis for making clinical decisions for targeted interventions.
We enrolled a total of 85 patients who underwent CSM surgery at two grade-A general public hospitals in Fujian Province between September 2021 and May 2022. We conducted a questionnaire survey using the Tampa Scale for Kinesiophobia (TSK) and the Zung Self-Rating Anxiety Scale (SAS). Patients evaluated pain using a visual analogue scale. We used one-way ANOVA and logistic multiple regression analysis to identify the relevant influencing factors.
The TSK score was (41.88±4.46) in 85 postoperative CSM patients, 65 males and 20 females, and there were 31 patients under 40 years old, 54 patients over 40 years old, 58 patients below high school education and 27 patients above high school education, and among them, 81.17% were diagnosed with kinesiophobia. Age was positively correlated with TSK score (r = 0.379, < 0.05) and therefore a risk factor for kinesiophobia (OR = 1.941, 95% CI = 1.021-3.690). Additionally, the duration of the disease was a protective factor for kinesiophobia (OR = 0.179, 95% CI = 0.053-0.605).
Patients with CSM were at high risk of developing kinesiophobia postoperatively. Age and duration of the disease were factors influencing the occurrence of kinesiophobia in this group.
探讨脊髓型颈椎病（CSM）患者术后运动恐惧的发生率及影响运动恐惧发生的因素，为制定针对性干预的临床决策提供相关依据。
选取2021年9月至2022年5月在福建省两家三级甲等综合医院接受CSM手术的85例患者。采用坦帕运动恐惧量表（TSK）和zung自评焦虑量表（SAS）进行问卷调查。患者使用视觉模拟量表评估疼痛。采用单因素方差分析和logistic多元回归分析确定相关影响因素。
85例CSM术后患者的TSK评分为（41.88±4.46），其中男性65例，女性20例；年龄<40岁者31例，≥40岁者54例；高中及以下学历者58例，高中以上学历者27例。其中，81.17%被诊断为运动恐惧。年龄与TSK评分呈正相关（r = 0.379，P<0.05），是运动恐惧的危险因素（OR = 1.941，95%CI = 1.021 - 3.690）。此外，病程是运动恐惧的保护因素（OR = 0.179，95%CI = 0.053 - 0.605）。
CSM患者术后发生运动恐惧的风险较高。年龄和病程是影响该组患者运动恐惧发生的因素。
