School of Nursing, North Sichuan Medical College, Nanchong, Sichuan, China.
Affiliated with the School of Medicine, Mianyang Central Hospital, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.
BMC Cardiovasc Disord. 2024 Sep 3;24(1):469. doi: 10.1186/s12872-024-04140-2.
This paper reviews the scope of research on kinesiophobia in patients after cardiac surgery. Further, it reviews the current situation, evaluation tools, risk factors, adverse effects, and intervention methods of kinesiophobia to provide a reference for promoting early rehabilitation of patients after cardiac surgery.
Guided by the scoping methodology, the Web of Science, PubMed, CINAHL, Cochrane Library, China Biomedical Literature Database, VIP Database, Wanfang Database, CNKI, and other databases were searched from database inception until July 31, 2024. The studies obtained were screened, summarised and systematically analysed by two researchers.
Eighteen studies (16 cross-sectional studies, one qualitative study, and one randomised controlled trial) were included. The incidence of kinesiophobia in patients after cardiac surgery was 39.20-82.57%, and the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) was used to evaluate this incidence. The influencing factors of kinesiophobia in patients after cardiac surgery included demographic characteristics, pain severity, frailty, exercise self-efficacy, disease-related factors, and psychosocial factors. Kinesiophobia led to adverse health outcomes such as reduced recovery, prolonged hospital stays, and decreased quality of life in patients after cardiac surgery, and there were few studies on intervention methods for postoperative kinesiophobia.
The kinesiophobia assessment tools suitable for patients after cardiac surgery should be improved, and intervention methods to promote the early recovery of patients after major clinical surgery and those with difficult and critical diseases should be actively researched.
本文综述了心脏手术后患者的运动恐惧症研究范围。进一步综述了运动恐惧症的现状、评估工具、风险因素、不良影响和干预方法，为促进心脏手术后患者的早期康复提供参考。
本研究采用范围综述方法，检索了 Web of Science、PubMed、CINAHL、Cochrane Library、中国生物医学文献数据库、VIP 数据库、万方数据库、CNKI 等数据库，检索时间从数据库建立到 2024 年 7 月 31 日。两名研究人员对获得的研究进行筛选、总结和系统分析。
纳入 18 项研究（16 项横断面研究、1 项定性研究和 1 项随机对照试验）。心脏手术后患者运动恐惧症的发生率为 39.20%-82.57%，采用 Tampa 运动恐惧症量表心脏版（TSK-SV Heart）进行评估。心脏手术后患者运动恐惧症的影响因素包括人口统计学特征、疼痛严重程度、脆弱性、运动自我效能、疾病相关因素和社会心理因素。运动恐惧症导致心脏手术后患者康复不良、住院时间延长和生活质量下降等不良健康结局，对术后运动恐惧症的干预方法研究较少。
应改进适合心脏手术后患者的运动恐惧症评估工具，并积极研究促进重大临床手术后患者和疑难危重病患者早期康复的干预方法。
