Çatal Seda Nur, Aktaş Yeşim Yaman
Department of Intensive Care Unit, Hitit University Erol Olçok Training and Research Hospital, Çorum, Turkey.
Department of Surgical Nursing, Faculty of Health Sciences, Giresun University, Giresun, Turkey.
J Perianesth Nurs. 2025 Apr;40(2):288-293. doi: 10.1016/j.jopan.2024.04.008. Epub 2024 Aug 1.
Severe pain and fear of pain may decrease physical activity and restrict movements after cardiac surgery. This study aimed to determine pain intensity after cardiac surgery and its association with kinesiophobia.
This was a descriptive and correlational study.
The study was conducted with cardiac surgery patients (n = 170). The sample size was calculated by using the G*POWER 3.1 program. According to the power analysis, the sample size was calculated as 170, taking into account the dependent variable with the largest sample size (kinesiophobia) and 20% loss. The outcome measures were pain and kinesiophobia collected using the Visual Analog Scale and Tampa Kinesiophobia Scale.
Married patients were at the greatest risk for kinesiophobia, higher than that for single patients (β = -3.765, β = -3.609; P < .05). Obese patients were at the greatest risk for kinesiophobia higher when compared to patients of normal weight (β = -2.907, P < .05). No statistically significant correlation was found between the pain intensity and kinesiophobia scores (P > 0.05).
Kinesiophobia was higher in patients after cardiac surgery. Married and obese patients were predictors of kinesiophobia; however, pain was not associated with kinesiophobia.
严重疼痛和对疼痛的恐惧可能会降低心脏手术后的身体活动并限制行动。本研究旨在确定心脏手术后的疼痛强度及其与运动恐惧的关联。
这是一项描述性和相关性研究。
该研究针对心脏手术患者（n = 170）进行。样本量通过使用G*POWER 3.1程序计算得出。根据功效分析，考虑到样本量最大的因变量（运动恐惧）并预留20%的损耗，样本量计算为170。结局指标是使用视觉模拟量表和坦帕运动恐惧量表收集的疼痛和运动恐惧。
已婚患者运动恐惧的风险最高，高于单身患者（β = -3.765，β = -3.609；P <.05）。与正常体重患者相比，肥胖患者运动恐惧的风险最高（β = -2.907，P <.05）。疼痛强度与运动恐惧得分之间未发现统计学上的显著相关性（P > 0.05）。
心脏手术后患者的运动恐惧较高。已婚和肥胖患者是运动恐惧的预测因素；然而，疼痛与运动恐惧无关。
