学龄期患儿骨折术后恐动症现状及其影响因素

Current status and influencing factors of Kinesiophobia in school-age children after fracture surgery

目的:调查学龄期骨折术后儿童恐动症现状,探索其影响因素,以期为儿童恐动症的预防及干预提供参考依据。方法:2018年2月至2019年3月,采用方便抽样的方法,应用一般资料调查表、恐动症量表(TSK)对小儿外科住院部65例骨折术后1 d的学龄期患儿进行调查分析。结果:患儿年龄(9.55±2.15)岁,TSK总得分(45.12±5.33)分,单因素方差分析显示,不同受伤原因、受伤部位、疼痛程度、是否接受疼痛相关指导患儿TSK总得分差异有统计学意义(F值为3.913~33.333,P<0.05),多元线性回归分析显示,疼痛相关指导、疼痛程度进入回归模型。结论:学龄期骨折儿童术后恐动症发生率高,建议以疼痛控制及指导为切入点进行预防及干预。

Objective To investigate the current situation of Kinesiophobia in school-age children after fracture surgery,and to explore the influencing factors,in order to provide reference for the prevention and intervention of Kinesiophobia in school-age children.Methods February 2018-March 1919,Using convenient sampling method,Investigation and analysis of Sixty-five school-age children one day after surgery in a pediatric surgery inpatient department using a general data questionnaire and Tampa Scale of Kinesiophobia(TSK).Results Age of children was(9.55±2.15)years old,the score of TSK was(45.12±5.33)points,one-way analysis of variance showed that there were statistically difference in the total score of TSK between patients with different causes of injury,injured parts,degrees of pain and whether to accept pain-related guidance or not(F values were 3.913-33.333,P<0.05).Multiple linear regression analysis showed pain-related guidance and pain levels entered into the regression model.Conclusions The incidence of Kinesiophobia in school-age children after fracture surgery was high,it is recommended to use pain control and pain-related guidance to prevent and intervene the Kinesiophobia.