胸腰椎骨折患者术后恐动症发生的相关因素

Related Factors of Postoperative Kinesiophobia in Patients with Thoracolumbar Fractures

目的探讨胸腰椎骨折患者术后发生恐动症的影响因素。方法采用便利抽样法选取2019年4月至2020年4月郑州市骨科医院收治的102名胸腰椎骨折患者进行前瞻性分析,使用Tampa量表对其进行调查,收集患者研究所需基线资料,记录恐动症发生情况,根据患者术后是否发生恐动症分为发生组、未发生组,分析其发生的相关影响因素。结果102例胸腰椎骨折患者中,术后发生恐动症患者33例(32.35%),未发生组69例(67.65%);发生组的年龄大于未发生组、手术时长长于未发生组,采用传统手术方式、月收入较低以及家庭关系较差的占比均高于未发生组(P<0.05);经logistic回归分析,结果显示,患者年龄大、手术时长长、采用传统手术方式、月收入水平低、家庭关系差是影响胸腰椎骨折患者术后发生恐动症的相关因素(P<0.05)。结论年龄偏大、手术时长长、采用传统手术方式、月收入低以及家庭关系差是胸腰椎骨折患者术后发生恐动症的相关因素。

Objective To explore the influencing factors of postoperative kinesiophobia in patients with thoracolumbar fractures.Methods The clinical data of 102 patients with thoracolumbar fractures treated in Zhengzhou Orthopedic Hospital from April 2019 to April 2020 were selected by convenience sampling method for prospective analysis.Tampa scale was used to investigate them,collect the baseline data required by patients for research,record the occurrence of phobia,and divide them into occurrence group and non occurrence group according to whether they have phobia after surgery,and analyze the relevant influencing factors of their occurrence.Results Among 102 patients with thoracolumbar fractures,33 patients(32.35%)had postoperative kinesiophobia,and 69 patients(67.65%)did not have postoperative kinesiophobia.Compared with the non occurrence group,the age of the occurrence group was older,operation time was longer,and the proportions of traditional operation,low monthly salary and poor family relationship were higher(P<0.05).The results of logistic regression analysis showed that,age of patients,length of operation,use of traditional operation methods,low monthly salary level and poor family relations were the related factors affecting the occurrence of postoperative kinesiophobia in patients with thoracolumbar fractures(P<0.05).Conclusion Older age,long operation time,traditional operation methods,low monthly salary and poor family relationship are the related factors of postoperative kinesiophobia in patients with thoracolumbar fractures.