了解儿科骨瘤中的运动恐惧症:调查其存在和预测因素
Güleser Güney Yılmaz1, Müberra Tanrıverdi2, Gözde Önal3
1Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Türkiye. guleser.guney.gg@gmail.com.
European journal of pediatrics
|February 12, 2025
概括
患有骨瘤的儿童对运动的恐惧 (运动恐惧症) 与手术,疼痛和疲劳有关. 解决这些因素可以改善儿童癌症患者的康复和福祉.
科学领域:
- 儿科瘤学 儿科瘤学
- 康复医学 康复医学 康复医学
- 心理瘤学 心理瘤学
背景情况:
- 运动恐惧症,一种对运动的恐惧,在成人癌症患者中被认可,与减少体力活动和更差的康复结果相关.
- 关于运动恐惧症及其预测因子的研究有限,特别是在被诊断患有骨瘤的儿科患者中.
研究的目的:
- 研究被诊断患有原发性恶性骨瘤的儿童中运动恐惧症的促成因素和预测因素.
- 评估这个群体中运动恐惧症和各种临床和心理参数之间的关系.
主要方法:
- 一项前性横截面研究,涉及100名患有主发性恶性骨瘤的儿童 (8-17岁),正在接受积极治疗.
- 使用了Tampa Kinesiophobia (TSK) 尺度,疼痛的数值评分尺度 (NRS),PedsQLTM多维疲劳尺度,儿童抑郁评分尺度修订 (CDRS-R),手动肌肉测试和TUG测试.
- 采用后勤回归来识别动态恐惧症预测因子和千平方测试来检查肌肉强度相关性.
主要成果:
- 手术状态,疼痛强度和疲劳水平被确定为运动恐惧症的重要预测因素.
- 后勤回归模型解释了87% (R2=0.870) 的动态恐惧水平变异.
- 曾经接受过手术,疼痛增加和抑郁症增加的儿童报告说,运动恐惧症的可能性增加.
结论:
- 儿科骨瘤患者的运动恐惧症是多因素的,受外科手术干预,疼痛和心理困扰的影响.
- 整合生物心理社会评估和干预措施对于减轻运动恐惧症,增强康复和改善患者整体福祉至关重要.
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