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胸部手术后以综合保护动机和暴露干预为目标的运动恐惧症:随机对照试验

Jiao Peng¹, Yang Luo², Lijuan Feng²

¹Department of Respiratory and Critical Care Medicine, Wuhan Fourth Hospital, Wuhan, Hubei Province, People's Republic of China.

Journal of pain research

|December 25, 2025

概括

这项研究表明,综合干预有效地减少了胸部手术后的运动恐惧症 (对运动的恐惧). 这种方法改善了疼痛和咳,促进了患者的早期康复.

科学领域:

胸部外科手术胸部外科手术
心理干预心理干预
康复康复康复康复

背景情况:

动态恐惧症是胸部手术后恢复的主要障碍.
对运动的恐惧会对患者的结果产生负面影响,并延长住院时间.

研究的目的:

评估综合干预的有效性,该干预结合了保护激励理论 (PMT) 和暴露疗法.
为了减少动态恐惧症,并改善胸部手术患者的术后结果.

主要方法:

一个随机的,双盲的,受控的试验,涉及144名患有胸腔镜肺部手术后运动恐惧症的患者.
参与者接受了基于PMT的心理和分级暴露行为干预或常规护理.
测量的主要结果是手术后第3天 (POD3) 的Tampa Kinesiophobia (TSK-17-C) 评分.

主要成果:

与对照组相比,干预组在POD3上显示了显著较低的TSK-17-C得分 (28.26对比36.13,P <0.001).
干预组在POD3上经历了改善的疼痛轨迹 (P=0.048) 和优越的咳能力 (P <0.001).
综合干预被发现是安全的,并且被患者容忍得很好.

结论:

结合PMT和暴露治疗的综合心理行为干预有效地减少胸部手术后的动态恐惧症.
这种由护士领导的协议提供了一种非药物治疗策略,以缓解疼痛和增强咳能力,促进更快的恢复.
这种干预有助于缓解"疼痛-恐惧-避免"循环,改善患者的整体结果.

关键词:

暴露治疗中的暴露疗法运动恐惧症 (kinesiophobia) 是一种恐惧症.疼痛管理疼痛管理术后康复术后康复保护的动机理论保护的动机理论随机对照试验是随机对照试验.胸部外科手术胸部外科手术

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