基于结构方程建模的围疾病患者中影响术后运动恐惧症的因素分析
Ailin He1,2, Xingshun Zou2, Mei Yuan2
1School of Nursing, North Sichuan Medical College, Nanchong, Sichuan, China.
Frontiers in medicine
|January 28, 2026
概括
手术后的疼痛显著增加了围外科手术患者的运动恐惧症. 提高自我效能和社会支持可以减轻这种恐惧,改善康复和生活质量.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 外科手术的结果
背景情况:
- 手术后的运动运动恐惧症是经过围外科手术的患者的一个担忧.
- 了解其影响因素对于有效的临床干预至关重要.
研究的目的:
- 为了调查外围手术患者中术后运动运动恐惧症的患病率.
- 识别和分析影响动态恐惧症的因素及其因果途径.
- 为减少运动恐惧症和提高患者生活质量的有针对性的干预措施提供信息.
主要方法:
- 在441名接受近外科手术的患者中进行了横截面调查.
- 使用了人口统计,运动恐惧症 (TSK),应对疼痛,疾病感知 (B-IPQ),自我效能 (GSES) 和社会支持的问卷.
- 使用结构方程建模 (SEM) 来分析因果路径.
主要成果:
- 疼痛强度显著影响了运动恐惧症 (β = 0.242,p < 0.001).
- 自我有效性 (β = -0.236,p < 0.001) 和社会支持 (β = -0.187,p < 0.001) 对运动恐惧症产生了负面影响.
- 疼痛是运动恐惧症最强的预测因素 (总效应为0.401),其次是社会支持,自我效能和疾病感知.
结论:
- 疼痛是围外科手术患者手术后运动恐惧症的主要驱动因素.
- 干预措施应侧重于疼痛管理,增强自我效能,改善疾病感知.
- 解决这些因素可以减少运动恐惧症,并促进更好的术后康复.
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