Chen Lianlian, Cai Zhangying, Ye Linna, Li Jie
Department of Spinal Surgery, the 2nd Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2025 Apr 18;57(2):317-322. doi: 10.19723/j.issn.1671-167X.2025.02.015.
To investigate the current status of kinesiophobia after lumbar fusion surgery in patients with lumbar disc herniation (LDH) and to analyze its influencing factors.
A total of 489 LDH patients who underwent lumbar fusion surgery in our hospital from January 2021 to December 2022 and effectively filled out the tampa scale for kinesiophobia (TSK) and other questionnaires on the first day after surgery were collected as the study subjects, the current status of kinesiophobia in LDH patients after lumbar fusion surgery were investigated using the TSK. The LDH patients were grouped into a kinesiophobia group (=221) and a non kinesiophobia group (=268) based on whether there was kinesiophobia after lumbar fusion surgery. The self-designed general data questionnaires were used to collect data, and Logistic regression was applied to analyze independent risk factors for kinesiophobia after lumbar fusion surgery in the LDH patients.
In the study, 221 out of the 489 LDH patients (45.19%) had kinesiophobia after lumbar fusion surgery. Univariate analysis showed that there were statistically significant differences between the phobic group and the non phobic group in terms of gender, education level, course of disease, whether there was hypoproteinemia, pain level, self-efficacy, social support, whether there was anxiety, and whether there was depression ( < 0.05). There were no statistically significant differences in terms of age, body mass index, monthly family income, marital status, residence, medical expense payment form, whether there was hypertension, whether there was diabetes, whether there was cardiovascular and cerebrovascular disease, whether there was respiratory disease, whether there was surgery experience, whether there was anemia, work conditions, and responsibility segments (>0.05). Male (95%: 3.289-10.586, < 0.001), education level below undergraduate level (95%: 6.533-45.162, < 0.001), severe pain (95%: 10.348-72.025, < 0.001), moderate pain (95%: 6.247-37.787, < 0.001), low self-efficacy (95%: 4.238-15.095, < 0.001), and medium self-efficacy (95%: 2.804-8.643, < 0.001) were influencing factors for kinesiophobia after lumbar fusion surgery in the patients with LDH ( < 0.05).
The incidence of kinesiophobia after lumbar fusion surgery in patients with LDH is high, and its influencing factors include gender, education level, pain level, and self-efficacy.
探讨腰椎间盘突出症（LDH）患者腰椎融合术后运动恐惧的现状，并分析其影响因素。
收集2021年1月至2022年12月在我院行腰椎融合手术且术后第一天有效填写运动恐惧坦帕量表（TSK）及其他问卷的489例LDH患者作为研究对象，采用TSK调查LDH患者腰椎融合术后运动恐惧的现状。根据腰椎融合术后是否存在运动恐惧将LDH患者分为运动恐惧组（=221）和无运动恐惧组（=268）。采用自行设计的一般资料问卷收集资料，应用Logistic回归分析LDH患者腰椎融合术后运动恐惧的独立危险因素。
本研究中，489例LDH患者中有221例（45.19%）腰椎融合术后存在运动恐惧。单因素分析显示，恐惧组与非恐惧组在性别、文化程度、病程、是否存在低蛋白血症、疼痛程度、自我效能感、社会支持、是否存在焦虑以及是否存在抑郁方面差异有统计学意义（<0.05）。在年龄、体重指数、家庭月收入、婚姻状况、居住地、医疗费用支付形式、是否患有高血压、是否患有糖尿病、是否患有心脑血管疾病、是否患有呼吸系统疾病、是否有手术史、是否患有贫血、工作状况及责任节段方面差异无统计学意义（>0.05）。男性（95%置信区间：3.289 - 10.586，<0.001）、本科以下文化程度（95%置信区间：6.533 - 45.162，<0.001）、重度疼痛（95%置信区间：10.348 - 72.025，<0.001）、中度疼痛（95%置信区间：6.247 - 37.787，<0.001）、自我效能感低（95%置信区间：4.238 - 15.095，<0.001）和自我效能感中等（95%置信区间：2.804 - 8.643，<0.001）是LDH患者腰椎融合术后运动恐惧的影响因素（<0.05）。
LDH患者腰椎融合术后运动恐惧发生率较高，其影响因素包括性别、文化程度、疼痛程度及自我效能感。
