Marmouta Panagio, Marmouta Lemonia, Tsounis Andreas, Tzavara Chara, Malliarou Maria, Fradelos Evangelos, Saridi Maria, Toska Aikaterini, Sarafis Pavlos
Department of Health Care Management, Hellenic Open University, 26335 Patras, Greece.
Department of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Healthcare (Basel). 2025 Jun 6;13(12):1366. doi: 10.3390/healthcare13121366.
Total hip arthroplasty (THA) improves quality of life in patients with hip osteoarthritis (OA) by alleviating pain and restoring mobility. Kinesiophobia (i.e., fear of performing specific movements to avoid pain and re-injury) negatively affects the quality of life after THA, while social support impacts postoperative quality of life by influencing recovery and well-being. This cross-sectional study investigates the effects of kinesiophobia and social support, as well as their interaction, on the quality of life after THA. A total of 125 patients participated in the study, all of whom had undergone THA for end-stage hip OA. The Tampa Scale for Kinesiophobia (TSK), the Oslo Social Support Scale (OSSS), and the Total Quality of Life scale (T-QoL) were used for the assessment of the study variables. Multiple linear regression was conducted considering the T-QoL subscales (emotional and physical well-being, functional engagement, resilience, and peri-traumatic experience) as dependent variables. : Kinsesiophobia correlated negatively with physical and emotional well-being, peri-traumatic experience, and resilience. Social support was positively correlated with emotional well-being, functional engagement, and resilience; however, it also buffered the negative relationship between kinesiophobia and peri-traumatic experience. Age was negatively correlated with emotional and physical well-being, functional engagement, and resilience, while the patient being female also correlated negatively with emotional well-being and functional engagement. Finaly, self-perception of mental health problems was negatively correlated with resilience. Future studies may further investigate the pathway between kinesiophobia and social support on the one hand and quality of life on the other hand, as well as the interaction between social support and kinesiophobia.
全髋关节置换术（THA）通过减轻疼痛和恢复活动能力，改善了髋骨关节炎（OA）患者的生活质量。运动恐惧症（即害怕进行特定动作以避免疼痛和再次受伤）对THA后的生活质量产生负面影响，而社会支持则通过影响康复和幸福感来影响术后生活质量。这项横断面研究调查了运动恐惧症和社会支持及其相互作用对THA后生活质量的影响。共有125名患者参与了该研究，他们均因终末期髋OA接受了THA。使用坦帕运动恐惧量表（TSK）、奥斯陆社会支持量表（OSSS）和总体生活质量量表（T-QoL）来评估研究变量。以T-QoL分量表（情绪和身体健康、功能参与、恢复力和创伤周围经历）作为因变量进行多元线性回归分析。结果显示：运动恐惧症与身体和情绪健康、创伤周围经历及恢复力呈负相关。社会支持与情绪健康、功能参与和恢复力呈正相关；然而，它也缓冲了运动恐惧症与创伤周围经历之间的负相关关系。年龄与情绪和身体健康、功能参与及恢复力呈负相关，而女性患者与情绪健康和功能参与也呈负相关。最后，对心理健康问题的自我认知与恢复力呈负相关。未来的研究可以进一步探讨运动恐惧症和社会支持之间一方面与生活质量另一方面之间的途径，以及社会支持与运动恐惧症之间的相互作用。
