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急性A型主动脉夹层患者术后运动恐惧:一项横断面研究。

Postoperative Kinesiophobia in Patients with Acute Type A Aortic Dissection: A Cross-Sectional Study.

作者信息

Chen Yaqiong, Peng Yanchun, Huang Xizhen, Chen Liangwan, Lin Yanjuan

机构信息

Department of Nursing, Union Hospital, Fujian Medical University, 350122 Fuzhou, Fujian, China.

Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, 350122 Fuzhou, Fujian, China.

出版信息

Rev Cardiovasc Med. 2024 Aug 22;25(8):304. doi: 10.31083/j.rcm2508304. eCollection 2024 Aug.

Abstract

BACKGROUND

This cross-sectional study explores postoperative kinesiophobia in patients with acute type A aortic dissection (AAAD), an understudied area. The occurrence of postoperative kinesiophobia and its relation to various factors were investigated.

METHODS

Patients diagnosed with AAAD and undergoing surgical treatment from January 2019 to December 2021 were selected through continuous sampling. Kinesiophobia levels were assessed using the Tampa Scale for Kinesiophobia Heart (TSK-SV-HEART). Univariate and multivariate regression analyses were employed to determine factors influencing kinesiophobia.

RESULTS

Out of 264 included patients, the mean postoperative kinesiophobia score was 38.15 (6.66), with a prevalence of 46.2%. Multivariate logistic regression revealed that education level, general self-efficacy, family care index, and facing style reduced kinesiophobia, while avoidance style and yielding style increased it.

CONCLUSIONS

Postoperative kinesiophobia prevalence in AAAD patients is high and associated with diverse factors. Medical staff should remain vigilant to potential kinesiophobia during postoperative rehabilitation.

摘要

背景

本横断面研究探讨了急性A型主动脉夹层(AAAD)患者术后的运动恐惧,这是一个研究较少的领域。研究了术后运动恐惧的发生情况及其与各种因素的关系。

方法

通过连续抽样选取2019年1月至2021年12月期间诊断为AAAD并接受手术治疗的患者。使用坦帕运动恐惧量表心脏版(TSK-SV-HEART)评估运动恐惧水平。采用单因素和多因素回归分析来确定影响运动恐惧的因素。

结果

在纳入的264例患者中,术后运动恐惧平均得分为38.15(6.66),患病率为46.2%。多因素逻辑回归显示,教育水平、一般自我效能感、家庭关怀指数和面对方式可降低运动恐惧,而回避方式和屈服方式则会增加运动恐惧。

结论

AAAD患者术后运动恐惧患病率较高,且与多种因素相关。医护人员在术后康复过程中应警惕潜在的运动恐惧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6013/11367013/b7a4518e458c/2153-8174-25-8-304-g1.jpg

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