胸腔镜下肺结节切除术患者术后恐动症发生的危险因素及护理对策分析

Analysis of Risk Factors and Nursing Strategies for Postoperative Kinesiophobia in Patients Undergoing Thoracoscopic Pulmonary Nodule Resection

目的分析胸腔镜下肺结节切除术患者术后恐动症发生的危险因素,并制定护理对策。方法选取2022年12月至2023年12月期间在新乡市第一人民医院行胸腔镜下肺结节切除术的99例患者,采用自拟一般资料调查问卷收集其基本信息,统计术后恐动症发生情况,并进行单因素与多因素Logistic回归分析,明确术后恐动症发生的危险因素。结果99例患者中共有38例(38.38%)患者发生术后恐动症;恐动症组年龄较非恐动症组更大,高中及以下文化程度比例、个人月收入≤3000元比例、无外科手术史比例、疼痛程度、疼痛灾难化评分更高,差异有统计学意义(P<0.05),社会支持度评分更低,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,高中及以下文化程度(OR=3.294)、疼痛程度(OR=3.458)、疼痛灾难化程度(OR=3.912)是胸腔镜下肺结节切除术患者术后恐动症发生的独立危险因素,差异有统计学意义(P<0.05),社会支持度(OR=0.676)是保护性因素,差异有统计学意义(P<0.05)。结论胸腔镜下肺结节切除术患者术后恐动症与文化程度、社会支持度、疼痛程度、疼痛灾难化存在密切关系,临床应制定针对性护理对策,以降低恐动症发生率。

Objective To analyze the risk factors for postoperative kinesiophobia in patients undergoing thoracoscopic pulmonary nodule resection and to develop nursing strategies.Methods A total of 99 patients who underwent thoracoscopic pulmonary nodule resection in Xinxiang First People’s Hospital from December 2022 to December 2023 were selected.A self-designed general information questionnaire was used to collect their basic information,the occurrence of postoperative kinesiophobia was statistically analyzed,and univariate and multivariate logistic regression analyses were performed to clarify the risk factors for postoperative kinesiophobia.Results Among the 99 patients,38 cases(38.38%)developed postoperative kinesiophobia.The age of the kinesiophobia group was older than that of the non-kinesiophobia group,the proportion of high school and below education level,the proportion of personal monthly income≤3000 yuan,the proportion of no surgical history,the degree of pain,and the score of pain catastrophizing were higher,with statistically significant differences(P<0.05),and the social support score was lower,with a statistically significant difference(P<0.05).The results of multivariate logistic regression analysis showed that high school and below education level(OR=3.294),degree of pain(OR=3.458),and degree of pain catastrophizing(OR=3.912)were independent risk factors for postoperative kinesiophobia in patients undergoing thoracoscopic pulmonary nodule resection,with statistically significant differences(P<0.05),and social support(OR=0.676)was a protective factor,with a statistically significant difference(P<0.05).Conclusion Postoperative kinesiophobia in patients undergoing thoracoscopic pulmonary nodule resection is closely related to education level,social support,degree of pain,and pain catastrophizing.Clinically,targeted nursing strategies should be developed to reduce the incidence of kinesiophobia.