Xu Xin, Wang Wei, Feng Xiuqin
Department of Nursing, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China.
J Craniofac Surg. 2024 Sep 17. doi: 10.1097/SCS.0000000000010420.
To understand the causes of kinesiophobia in postoperative patients with cerebellar tumors, and to provide the basis for early rehabilitation regimen.
Using the objective sampling method, 16 postoperative cerebellar tumor patients were extracted for semi-structured interviews. Data was analyzed using the Colaizzi 7-step method, and the theme was refined.
The causes of kinesiophobia in postoperative cerebellar tumor patients were summarized into 4 themes: Excessive vigilance to self-state. Increased pain sensitivity and fear of dizziness were regarded as threat signals, which brought excessive burden on the current therapeutic regimen. Uncertainty of early rehabilitation. Lack of cognition, uncertainty effect of early rehabilitation, and insufficient exercise of self-efficacy. Psychological stress and avoidant emotion. Economic pressure and avoidant emotion ran out of control. Vulnerable support system. Deficient in professional technique, family, and social support.
The kinesiophobia in postoperative cerebellar tumor patients is composed of multiple factors. Medical staff are supposed to help patients establish a correct perception of disease status. The information on early rehabilitation needs to be transmitted continually. To promote patients to participate in early rehabilitation activities energetically, it is vital to keep a high level of rehabilitation effect expectation, increased self-exercise efficiency, psychological intervention, and strong multi-party cooperation in an improved social support system.
了解小脑肿瘤术后患者运动恐惧的原因，为早期康复方案提供依据。
采用目的抽样法，抽取16例小脑肿瘤术后患者进行半结构式访谈。采用Colaizzi 7步法对资料进行分析，提炼主题。
小脑肿瘤术后患者运动恐惧的原因归纳为4个主题：对自身状态过度警觉。疼痛敏感性增加和对头晕的恐惧被视为威胁信号，给当前治疗方案带来过度负担。早期康复的不确定性。认知不足、早期康复效果不确定以及自我效能感锻炼不足。心理压力和回避情绪。经济压力和回避情绪失控。支持系统脆弱。专业技术、家庭和社会支持不足。
小脑肿瘤术后患者的运动恐惧由多种因素构成。医护人员应帮助患者建立对疾病状态的正确认知。早期康复信息需持续传递。为促进患者积极参与早期康复活动，保持较高的康复效果期望、提高自我锻炼效能、进行心理干预以及在完善的社会支持系统中加强多方合作至关重要。
