手术患者恐动症影响因素的Meta分析

Influencing factors for kinesiophobia in surgically treated patients:A meta-analysis

目的 分析手术患者术后发生恐动症的危险因素,为恐动症的早期防治提供科学依据。方法 检索Web of Science、PubMed、EMbase、The Cochrane Library、Ovid Database、中国知网(CNKI)、维普(VIP)、万方数据库(WanFang Data)、中国生物医学文献数据库(CBM)中从建库至2022年7月31日前发表的手术患者恐动症影响因素的文献。采用Stata 15.0和Rev Man 5.3软件进行统计分析。结果 共纳入11篇文献,3 358例手术患者。经分析显示:自我效能、疼痛程度、文化程度、积极应对、社会支持、客观支持、支持利用度、年龄、疾病病程为手术患者术后发生恐动症的影响因素(P<0.05)。结论 手术患者发生恐动症的影响因素包括自我效能、疼痛程度、文化程度、积极应对、社会支持、客观支持、支持利用度、年龄和疾病病程,医护人员应重视围术期的相关知识宣教,提高患者的疾病防范意识,尽早识别恐动症发生的高危人群并提供针对性干预措施,从而预防手术患者恐动症的发生。

Objective To analyze the risk factors for kinesiophobia in postoperative patients,aiming to provide scientific basis for the early prevention and treatment of kinesiophobia.Methods All studies on the influencing factors for kinesiophobia in surgically treated patients published before July 31,2022 were searched in online databases,including Web of Science,ubMed、EMbase,The Cochrane Library,Ovid Database,CNKI,VIP,WanFang Data and CBM.Meta-analysis was performed using RevMan5.3 and Stata15.0 software.Results A total of 11 literatures representing 3358 subjects were included.Meta-analysis results showed that self-efficacy,pain level,positive coping,educational level,social support,objective support,support utilization,age,and disease duration were the influencing factors for postoperative kinesiophobia(P<0.05).Conclusion Self-efficacy,pain level,positive coping,educational level,social support,objective support,support utilization,age,and disease duration are influencing factors for kinesiophobia in surgically treated patients.Health education in the perioperative period should be highlighted to improve the awareness of disease prevention,identify high-risk groups of kinesiophobia as soon as possible,and provide targeted interventions,so as to prevent the occurrence of kinesiophobia in surgically treated patients.