摘要
目的 系统评价全髋关节置换术(total hip arthroplasty,THA)和全膝关节置换术(total knee arthroplasty),TKA术后患者恐动症影响因素。方法 计算机检索Embase、PubMed、Web of Science、Cochrane Library、中国知网、维普、万方、CBM从建库至2023年11月20日公开发表的关于THA/TKA患者发生运动恐惧相关影响因素研究的文献。运用Stata 15.0进行分析。结果 共纳入18篇文献。Meta分析结果显示,年龄越大[OR=1.80,95%CI(1.19,2.73),P=0.006]、病程越长[OR=4.27,95%CI(2.89,6.33),P<0.000 1]、文化程度越低[OR=2.51,95%CI(1.80,3.50),P<0.000 1]、疼痛程度越高[OR=2.56,95%CI(1.84,3.56),P<0.000 1]、焦虑抑郁[OR=1.83,95%CI(1.27,2.64),P=0.001]、社会支持越低[OR=2.14,95%CI(1.40,3.27),P<0.000 1]、自我效能越低[OR=1.62,95%CI(1.33,1.99),P<0.000 1]、消极应对[OR=1.57,95%CI(1.21,2.05),P=0.001]、经济收入越低[OR=1.74,95%CI(1.33,2.26),P<0.000 1]是THA/TKA患者发生运动恐惧的危险因素。结论 THA/TKA患者发生恐动症受年龄、病程、文化程度、疼痛程度、焦虑抑郁、社会支持、自我效能、消极应对、经济收入因素的影响,因此在临床中医护人员应重视此类因素的筛查,进行早期预防和针对性地制定个性化干预方案,从而降低恐动症的发生。
Objective To systematically evaluate influencing factors for kinesiophobia after the total hip arthroplasty(THA)and total knee arthroplasty(TKA).Methods Literatures reporting influencing factors for kinesiophobia after THA/TKA published in the Embase,PubMed,Web of Science,Cochrane Library,China National Knowledge Internet(CNKI),VIP,Wanfang,and Chinese Biomedical Literature Database(CBM)were searched.The time limit was from the database construction to 2023-11-20.A Meta-analysis was performed using Stata 15.0.Results A total of 18 papers were included.Meta-analysis showed that older age(OR=1.80,95%CI 1.19,2.73,P=0.006),longer duration of the disease(OR=4.27,95%CI 2.89,6.33,P<0.0001),lower education level(OR=2.51,95%CI 1.80,3.50,P<0.0001),higher levels of pain(OR=2.56,95%CI 1.84,3.56,P<0.0001),anxiety and depression(OR=1.83,95%CI 1.27,2.64,P=0.001),lower social support(OR=2.14,95%CI 1.40,3.27,P<0.0001),lower self-efficacy(OR=1.62,95%CI 1.33,1.99,P<0.0001),negative coping(OR=1.57,95%CI 1.21,2.05,P=0.001),and lower economic income(OR=1.74,95%CI 1.33,2.26,P<0.0001)were risk factors for kinesiophobia in THA/TKA patients.Conclusion The occurrence of kinesiophobia in THA/TKA patients is influenced by age,disease duration,education level,pain level,anxiety and depression,social support,self-efficacy,negative coping,and economic income factors.Therefore,healthcare professionals should pay attention to the screening of such factors in the clinic for early prevention and targeting of individualized interventions,so as to reduce the occurrence of kinesiophobia.
作者
李晓倩
关华
徐小陶
丁林飞
LI Xiao-qian;GUAN Hua;XU Xiao-tao;DING Lin-fei
出处
《中国疗养医学》
2024年第6期49-53,共5页
Chinese Journal of Convalescent Medicine
