全膝关节置换术患者恐动症的范围综述

Kinesiophobia in patients undergoing total knee arthroplasty:a scoping review

目的总结恐动症的概念、理论基础、评估工具及时机、影响因素及干预措施等。方法计算机检索中国知网、中国生物医学文献数据库、万方数据库、PubMed、CINAHL、Web of Science、Embase、Scopus、PsycINFO、Cochrane Library等数据库中有关全膝关节置换患者恐动症的文献,检索时限为建库至2023年6月24日。对纳入文献进行资料提取及分析。结果共纳入32篇文献。恐动症量表是应用最广泛的恐动水平评估工具;恐动症的影响因素包括人口学及疾病因素、机体运动功能、心理与社会因素;恐动症的干预措施主要包括认知行为干预、疼痛健康教育、运动锻炼、艺术视频或音乐干预、多学科协作干预等。结论恐动症的概念及理论基础尚不完善,未来需要对理论模型、恐动症评估工具进一步修正和完善,并结合快速康复理念构建恐动症干预方案。

Objective To summarize the concept,theoretical basis,evaluation tools and mechanisms,influencing factors,and intervention measures of kinesiophobia.Methods The literature on kinesiophobia in patients undergoing total knee replacement was electronically searched on databases such as China National Knowledge Infrastructure,China Biology Medicine disc,WanFang Data,PubMed,CINAHL,Web of Science,Embase,Scopus,PsycINFO,Cochrane Library.The search period was from database establishment to June 24,2023.This study extracted and analyzed data from the included literature.Results A total of 32 articles were included.The Tampa Scale for Kinesiophobia was a widely used tool for evaluating kinesiophobia.The influencing factors of kinesiophobia were demographic and disease factors,body motor function,and psychological and social factors.The intervention measures for kinesiophobia mainly included cognitive behavioral intervention,pain health education,exercise,art video or music intervention,multidisciplinary collaborative intervention,and so on.Conclusions The concept and theoretical basis of kinesiophobia are not yet complete.It is necessary to revise and improve the theoretical model and assessment tool for kinesiophobia and construct an intervention program for kinesiophobia in combination with the concept of rapid rehabilitation.