慢性腰痛恐动症患者对康复运动的心理体验

Psychological experience on rehabilitation exercise of Chronic Low Back Pain patients with kinesiophobia

目的:了解慢性腰痛恐动症患者对康复运动的心理体验。方法:采用目的抽样法,对11名慢性腰痛恐动症患者进行半结构式访谈,并采用Colaizzi主题分析法对访谈资料进行分析、归纳并提炼主题。结果:慢性腰痛恐动症患者对康复运动的心理体验可归纳为3个主题,包括自我应对与管理无效(自我意识的改变、消极应对策略、否定康复运动效果),疾病负担过重(心理负担过重、经济负担过重),支持系统薄弱(专业康复支持不足、心理支持缺乏、家庭支持不足)。结论:医疗机构应充分重视患者对慢性腰痛及恐动症的自我管理,注重院内及院外全程专业康复指导,关注患者心理问题,并协同家庭照顾者提升患者心理及家庭支持力度,以改善患者疼痛状况,促进疾病康复。

Objective:To explore the true psychological experience of rehabilitation exercise for patients with Chronic Low Back Pain(CLBP)and kinesiophobia.Methods:We conducted a semi-structured interview with 11 CLBP patients with kinesiophobia by purposive sampling method,and used the Colaizzi analysis method to analyze,induce,and refine themes of interview data.Results:Totally three themes were extracted,including ineffective self-coping and management(change of self-consciousness,negative coping strategies,negating the effect of rehabilitation exercise),excessive burden of disease(psychological burden,economic burden),and weak support systems(insufficient professional rehabilitation supports,lack of psychological support,insufficient family supports).Conclusion:Medical institutions should pay full attention to the self-management of CLBP patients with kinesiophobia,strengthen the whole process of specialized rehabilitation guidance in and out of the hospital,care for patients'psychological problems,and cooperate with family caregivers to enhance patients'psychological and family support,so as to relieve the patients'pain experience and promote the recovery of the disease.