下肢动脉硬化闭塞症患者恐动症现状及影响因素分析

Kinesiophobia and its determinants in patients with arteriosclerosis obliterans of the lower limbs

目的调查下肢动脉硬化闭塞症患者恐动症现状及影响因素,为针对性干预提供参考。方法采用一般资料调查表、中文版恐动症Tampa评分表、视觉模拟评分、简易体能测试和医学应对方式问卷对血管外科住院的136例下肢动脉硬化闭塞症患者进行调查分析。结果患者恐动症得分为41.95±11.66,恐动症发生率为55.15%。多因素分析显示,年龄、视觉模拟评分、下肢功能和医学应对方式是下肢动脉硬化闭塞症患者恐动症的主要影响因素(均P<0.05)。结论下肢动脉硬化闭塞症患者恐动症发生率较高,医护人员应结合相应影响因素制定有针对性的干预措施,以降低患者恐动症的发生。

Objective To investigate the status and factors associated with kinesiophobia in patients with arteriosclerosis obliterans(ASO)of the lower limbs,and to provide reference for targeted intervention.Methods A total of 136 patients with ASO of the lo-wer limbs hospitalized in the department of vascular surgery were surveyed using a general information questionnaire,the Tampa Scale for Kinesiophobia,the Visual Analogue Scale(VAS),the Short Physical Performance Battery(SPPB)and the Medica Co-ping Modes Questionnaire(MCMQ).Results The score of kinesiophobia in ASO patients was(41.95±11.66),and the incidence of kinesiophobia was 55.15%.Multiple linear regression analysis showed that age,VAS score,lower limb functional performance,and medical coping modes were the main influencing factors for kinesiophobia in ASO patients(all P<0.05).Conclusion The incidence of kinesiophobia is relatively high in ASO patients.Medical staff should formulate targeted interventions according to the influencing factors to reduce the occurrence of kinesiophobia in patients.