Analysis Of The Status And Influencing Factors Of Kinesiophobia In Patients With Total Hip Arthroplasty In Changsha

Objectives:To understand the level of kinesiophobia in patients after THA and analyze its influencing factors,so as to help clinical doctors and nurses effectively recognize the fear of movement,enhance the compliance of postoperative rehabilitation exercise,and improve the outcome of clinical rehabilitation.Methods:In this study,three hospitals are randomly selected from the third gr-ade A hospitals of Changsha City.363 inpatients who planned to undergo THA surgery from June to December 2019 are selected as the study subj-ects.The research tools include General information questionnaire,Harris hip joint function score,Pain digital score,Pain belief and perception scale,Pain coping strategy questionnaire,and Tamp scale for kinesiopho-bia.SPSS 24.0 software is used for statistical analysis.The statistical ana-lysis methods are mainly statistical description,K-S normal test,?~2 test,Mann Whitney U rank sum test,correlation analysis and binary logistic regression analysis.Results:(1)The median and interquartile interval of the tamp score is 38.00(6.00).There are 197 patients in the fear group,41.00(3.00)in the mean and interquartile interval of the fear score,166 patients(45.73%)in the non fear group,and 35.00(3.00)in the mean and interquartile interval of the fear score.(2)The total score of pain belief and perception is(4.67±7.65).The scores of"feeling pain is mysterious","thinking pain will last","thinking pain can not be relieved"and"self blame"are(3.18±3.00),(2.07±3.63),(0.07±2.91),(-0.61±3.07)respectively.(3)The median and interquartile range of pain coping strategies is66.00(11.00).The mean and quartiles of"distraction","brave face","disaster","neglect"and"reinterpretation"are 21.00(9.00),17.00(3.00),11.00(5.00),12.00(6.00)and 6.00(6.00).(4)Univariate analysis of variance show that there are significant differences in Tamp scores include gender,education background,medic-al insurance type,surgical approach,chronic disease,pain duration,pain degree,BMI,postoperative Harris hip joint activity,pain belief and perception score and pain coping strategy score(P<0.05).(5)Spearman rank correlation analysis shows that there is a positive correlation between Pain belief and perceived total score and Tamp score(r=0.459,P<0.01).And there is a negative correlation between the Pain c-oping strategies and Tamp score(r=-0.322,P<0.01).(6)Logistic regression analysis show that education,pain duration,pain degree,BMI and Harris score are the influencing factors of phobia after THA.Higher education,longer pain years and good Harris score are protective factors(OR<1).High BMI and pain are risk factors(OR>1).Conclusions:In this study,there are panic in patients after total hip replacement,and its influencing factors included different education background,degree of p-ain,years of preoperative pain,Harris hip joint activity,and BMI.