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在腰椎外科手术后患者的潜伏性恐惧分析

Qin Huang¹, Xiaoming Zhang¹, Yanrui Ren²

¹The First Affiliated Hospital of Yangtze University, Jingzhou, China.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|August 26, 2025

概括

腰椎手术后的运动恐惧症显示出不同患者的情况. 影响运动恐惧的关键因素包括教育,BMI,自我效能和疼痛信念,指导有针对性的恢复干预.

科学领域:

骨科和康复
心理学
卫生科学

背景情况:

对于腰椎手术后的患者来说, 运动恐惧 (Kinesiophobia) 是一个严重的问题.
了解运动恐惧症的异质性对于有效的患者治疗和康复至关重要.

研究的目的:

评估腰椎手术后患者的运动恐惧水平.
根据潜伏特征识别出不同类型的动态恐惧症.
探索影响这些动态恐惧症子组的因素.

主要方法:

一项涉及324名中国患者的横截面研究.
使用了包括坦帕运动恐惧症量表 (TSK),HADS,GSES,PSSS和PCS在内的问卷.
使用潜质分析 (LPA) 来对患者进行分类,并通过逻辑回归来确定影响因素.

主要成果:

潜伏特征分析发现了三种动态恐惧特征:低 (38.5%),中度 (41. 0%) 和高 (20. 3%).
较低的教育程度,较低的自我效能和异常的BMI与中度至高的运动恐惧症有关.
较高的自我效能,正常的BMI和更好的自我护理能力与较低的运动恐惧症有关.

结论:

在经历腰椎手术的患者中,Kinesiophobia表现出显著的异质性.
教育水平,体重指数 (BMI),自我效能,自我照顾能力和疼痛灾难性是关键影响因素.
识别患者分组可以为改善术后康复和减少运动恐惧症提供定制干预措施.

关键词:

运动恐惧症隐形形状分析腰椎手术造成灾难的疼痛

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