Analysis Of The Status And Influencing Factors Of Kinesiophobia In Patients With Lower-extremity Joint Arthroplasty

ObjectiveThe objective of this study was to analyze the current state and factors influencing kinesiophobia in patients with inferior limb arthroplasty.To compare the status of kinesiophobia among patients with different inferior limb arthroplasty and explore the effects of disease perception,hope level,hospital anxiety,depression,general self-efficacy and pain on the state of kinesiophobia.It provides a theoretical basis for nursing intervention actions,to reduce the patient’s fear of exercise.MethodsThis study was a cross-sectional study.A total of 184 patients with total knee arthroplasty or total hip arthroplasty who met the inclusion and exclusion criteria in a tertiary class A hospital in Dalian from February 2020 to December 2020 were selected by the convenience sampling method.And they were investigated using General Data Questionnaire,Tampa Scale of Kinesiophobia(TSK),Hope Index Scale(HHI),Brief Illness Perception Questionnaire(BIPQ),Hospital Anxiety and Depression Scale(HADS),Visual Analogue Scale/Score(VAS)and General Self-Efficacy Scale(GSES).Use two people to enter data and SPSS25.0 statistical software for data analysis.Statistical methods include descriptive statistics,t-test of two independent samples,one-way ANOVA,Pearson correlation analysis,Spearman correlation analysis and Multiple stepwise linear regression.Results1.The score of kinesiophobia in patients with lower-extremity joint arthroplasty was(35.20±7.12),the score of TKA group was(35.98±6.58),THA group was(33.82±7.85).They were statistically different.The score of BIPQ in patients with lower-extremity joint arthroplasty patients was(36.65±7.92),cognitive dimension was(21.28±5.20),emotional dimension was(11.01±3.55),understanding dimension was(4.36±2.48).The total score of HHI was(31.16±6.83).The top-down dimension score is: dimension of relationship with others was(12.17±2.21),facing the dimensions of reality and future was(9.65±2.63),dimension of taking positive action was(9.34±2.77).Only 4.89% of the patients had moderate-severe anxiety and only 5.98% had moderate-severe depression.The score in GSES was(23.20±5.88).The VAS score was(5.71±1.86).2.There were significant other in the scores of kinesiophobia among different ages,sex,marital status,family monthly income,education level and mode of operation(P <0.05).Kinesiophobia was positively correlated with the dimensions of BIPQ,BIPQ,HADS and pain.Kinesiophobia was negatively correlated with HHI,the dimensions of HHI and GSES.3.The results of multiple stepwise linear regression showed that pain,education,disease cognitive and self-efficacy were the main influencing factors of Kinesiophobia in patients with lower-extremity joint arthroplasty,which could explain 37.40% of the total variation(P < 0.01).Conclusion1.The level of kinesiophobia in patients with TKA is significantly higher than that in patients with THA.The BIPQ,HHI,VAS,GESE scores following lower-extremity joint arthroplasty were mainly in a moderate level,and few patients with post-operative anxiety and depression symptoms were found.2.Disease perception,pain and anxiety and depression will further aggravate fear avoidance.The level of general self-efficacy and hope can make patients actively face the current symptoms,and reduce the level of movement kinesiophobia.3.The kinesiophobia of patients with lower-extremity joint arthroplasty was mainly affected by pain,education,disease cognition,general self-efficacy and divorce.Clinical doctors and nurses should formulate intervention programs for kinesiophobia,reduce the level of patients with kinesiophobia,promote joint function exercise and improve the quality of life.