Medical College, Nantong University, 19th Qixiu Road, Nantong 226001, China; Department of Neurosurgery, Affiliated Hospital of Nantong University, 20th Xisi Road, Nantong 226001, China.
Department of Nursing, Affiliated Hospital of Nantong University, 20th Xisi Road, Nantong 226001, China.
Clin Neurol Neurosurg. 2024 May;240:108254. doi: 10.1016/j.clineuro.2024.108254. Epub 2024 Mar 22.
There is a scarcity of data regarding the effects of kinesiophobia on stroke patients with hemiplegia. Therefore, this paper aims to evaluate the level of kinesiophobia experienced by stroke patients with hemiplegia in China, examine the elements that influence it, and investigate the unique psychological experience of kinesiophobia combined with a qualitative study.
This mixed study was conducted in two steps. Four approved scales were used to evaluate a total of 163 patients: (i) Tampa Scale of Kinesiophobia, (ii) Pain Catastrophizing Scale, (iii) Self-Efficacy for Exercise Scale, and (iv) Hospital Anxiety and Depression Scale. A multivariate linear regression model was used to evaluate the predictors of kinesiophobia in stroke patients with hemiplegia. Subsequently, semi-structured interviews with 15 stroke patients with hemiplegia were conducted using an objective sampling method, and the Colaizzi 7-step analysis process was utilized to analyze the interview data.
A total of 163 stroke patients with hemiplegia were included in this study, of them, 47.9% reported kinesiophobia. Multiple linear regression revealed that the influencing factors of kinesiophobia in stroke patients with hemiplegia were a history of falls, exaggeration, helplessness, anxiety, depression, and low exercise self-efficacy (P<0.05). The qualitative research focuses on two main topics: personal adoption of negative coping styles and insufficient external support.
Our study showed that the kinesiophobia in stroke patients with hemiplegia was high, with several factors influencing their kinesiophobia. Some of these factors are modifiable and should be considered when formulating kinesiophobia intervention strategies for stroke patients with hemiplegia.
有关偏瘫脑卒中患者的运动恐惧的影响的数据十分匮乏。因此，本研究旨在评估中国偏瘫脑卒中患者的运动恐惧水平，探讨影响运动恐惧的因素，并通过定性研究探讨运动恐惧的独特心理体验。
本混合研究分两步进行。采用四种经过验证的量表评估了共 163 名患者：（i）Tampa 运动恐惧量表，（ii）疼痛灾难化量表，（iii）运动自我效能感量表，（iv）医院焦虑抑郁量表。采用多元线性回归模型评估偏瘫脑卒中患者运动恐惧的预测因素。随后，采用客观抽样法对 15 名偏瘫脑卒中患者进行半结构式访谈，并采用 Colaizzi 7 步分析过程对访谈数据进行分析。
共纳入 163 名偏瘫脑卒中患者，其中 47.9%报告存在运动恐惧。多元线性回归显示，偏瘫脑卒中患者运动恐惧的影响因素包括跌倒史、夸大、无助、焦虑、抑郁和运动自我效能感低（P<0.05）。定性研究主要关注两个主题：个人采用消极应对方式和外部支持不足。
本研究表明，偏瘫脑卒中患者的运动恐惧水平较高，存在多种影响其运动恐惧的因素。其中一些因素是可改变的，在制定偏瘫脑卒中患者运动恐惧干预策略时应加以考虑。
