摘要
目的系统评价髋关节置换术后患者发生恐动症的影响因素。方法计算机检索国内外多个数据库从建库至2023年7月发表的有关髋关节置换术后患者发生恐动症的影响因素研究,采用RevMan 5.4软件进行Meta分析。结果共纳入7项研究,髋关节术后合并恐动症患者共计621例。Meta分析结果显示,髋关节置换术后患者发生恐动症的影响因素包括年龄(OR=0.35,95%CI:0.23,0.52),是否合并慢性病(OR=2.06,95%CI:1.48,2.88),疼痛程度(OR=3.83,95%CI:2.76,5.33),有无跌倒史(OR=3.69,95%CI:2.37,5.74)和运动自我效能水平(OR=5.34,95%CI:2.33,12.23)。结论髋关节置换术后患者发生恐动症的影响因素多样,恐动症的发生受年龄、是否合并慢性病、疼痛程度、有无跌倒史以及运动自我效能水平的影响,因此临床工作人员应重视髋关节置换术后患者的运动干预和知识宣教,以减少术后恐动症的发生。
Objective To systematically evaluate the influencing factors for kinesiophobia in patients after hip replacement.Methods Studies on the influencing factors for kinesiophobia in patients after hip replacement published in multiple databases at home and abroad from the establishment of the database to July 2023 were searched in online databases.RevMan 5.4 software was used for meta-analysis.Results Seven studies involving 621 patients with kinesiophobia after hip replacement were included.The results of meta-analysis showed that the influencing factors for kinesiophobia in patients after hip replacement included the age(OR=0.35,95%CI:0.23,0.52),chronic diseases(OR=2.06,95%CI:1.48,2.88),degree of pain(OR=3.83,95%CI:2.76,5.33),fall history(OR=3.69,95%CI:2.37,5.74)and exercise self-efficacy level(OR=5.34,95%CI:2.33,12.23).Conclusion There are various influencing factors for kinesiophobia in patients after hip replacement,and the occurrence of kinesiophobia is affected by age,chronic diseases,pain degree,history of falls and exercise self-efficacy level.Therefore,clinical staff should pay attention to exercise intervention and knowledge education in patients after hip replacement,so as to reduce the occurrence of postoperative kinesiophobia.
作者
何沁芮
云洁
毛雨婷
吴婷婷
张曼
程春芳
HE Qin-rui;YUN Jie;MAO Yu-ting;WU Ting-ting;ZHANG Man;CHENG Chun-fang
出处
《中国疗养医学》
2024年第1期73-76,共4页
Chinese Journal of Convalescent Medicine
