骨质疏松性椎体压缩骨折患者术后恐动症的影响因素分析

Analysis of Influencing Factors of Postoperative Kinesiophobia in Patients with Osteoporotic Vertebral Compression Fractures

目的:探讨骨质疏松性椎体压缩骨折(OVCF)患者术后恐动症的影响因素。方法:回顾性分析2019年5月30日-2022年5月30日在湖北六七二中西医结合骨科医院接受治疗的185例OVCF患者的临床资料,统计术后发生恐动症的患者例数,并对OVCF术后发生恐动症的影响因素进行分析。结果:185例OVCF患者中,术后发生恐动症54例,发生率为29.19%。单因素分析显示,发生恐动症患者家庭平均月收入<3000元、疼痛年限<3年、术后疼痛程度中(重)度、有焦虑抑郁、自我效能感低的比例高于未发生恐动症患者(P<0.05);发生与未发生恐动症患者年龄、性别、体重指数、工作情况、婚姻状况、手术部位、手术方式差异均无统计学意义(P>0.05);多因素分析显示,家庭平均月收入<3000元[OR=2.512,95%CI(1.145,5.511)]、疼痛年限<3年[OR=3.416,95%CI(1.436,8.123)]、中(重)度疼痛[OR=3.196,95%CI(1.446,7.064)]、焦虑抑郁[OR=6.592,95%CI(2.268,19.160)]、自我效能感低[OR=4.869,95%CI(2.027,11.699)]是OVCF患者术后发生恐动症的独立危险因素(P<0.05)。结论:OVCF患者术后恐动症发生率较高,受患者的家庭平均月收入、疼痛年限、术后疼痛程度、焦虑抑郁及自我效能感影响。

Objective:To investigate the influencing factors of postoperative kinesiophobia in patients with osteoporotic vertebral compression fracture(OVCF).Method:The clinical data of 185 patients with OVCF who were treated in Hubei 672 Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine from May 30th,2019 to May 30th,2022 were analyzed retrospectively,the number of patients with postoperative kinesiophobia were counted,and the influencing factors of postoperative kinesiophobia were analyzed.Result:Among 185 patients with OVCF,54 patients developed kinesiophobia after surgery,with an incidence of 29.19%.Univariate analysis showed that the proportion of the average family monthly income of patients with kinesiophobia was less than 3000 yuan,the number of years of pain was less than 3 years,moderate(severe)postoperative pain,anxiety and depression,and low self-efficacy were higher than those without kinesiophobia(P<0.05).There were no significant differences in age,gender,body mass index,work status,marital status,surgical site and surgical method between patients with and without kinesiophobia(P>0.05).Multivariate analysis showed that the average family monthly income was less than 3000 yuan[OR=2.512,95%CI(1.145,5.511)],and the duration of pain was less than 3 years[OR=3.416,95%CI(1.436,8.123)],moderate(severe)pain[OR=3.196,95%CI(1.446,7.064)],anxiety and depression[OR=6.592,95%CI(2.268,19.160)],low self-efficacy[OR=4.869,95%CI(2.027,11.699)]were the independent risk factors for the occurrence of kinesiophobia in patients with OVCF after operation(P<0.05).Conclusion:The incidence of postoperative kinesiophobia in OVCF patients is high,which is affected by the patients'average family monthly income,years of pain,postoperative pain level,anxiety and depression,and self-efficacy.