慢性疼痛患者恐动症现状及其影响因素

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1491 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To understand the current situation of kinesiophobia and its influencing factors in chronic pain patients, providing reference for the medical staff to take targeted intervention measures. Methods: A survey of 176 patients suffering from chronic painswas madein the out-patient departments of the three third-level grade A hospitals in Zhejiang Province. Convenient sampling methods ofthe general questionnaires, the Changhai pain rating scale and tampa scale of kinesiophobia (TSK) were used in the study. Results: The TSK score was (42.92±3.47) and the rate of movement fear was up to 42.61%. The single factor analysis showed that educational background, current physical pain and the previous maximum pain level had statistical significance (P<0.05). Logistic regression analysis showed that the previous maximum pain level was the major influencing factor for kinesiophobia (OR=1.468, 95%CI=1.225-1.760, P<0.01). Conclusion: The chronic pain patients are more likely to suffer from kinesiophobia, and there is a close connection between the previous most painful level and fear of moving. It is suggested that we should pay attention to the previous pain level of patients with chronic pain, change the patients’ cognition of movement fear and promote the rehabilitation of patients with chronic pain.

Key words： chronic pains kinesiophobia the fear of moving influencing factors

Received: 30 April 2018

	Service
	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Songchao
	ZHANG Chunme
	WANG Rong
	WANG Linyan

URL:

https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I12/929

[1] BREIVIK H. International Association for the Study of Pain: update on WHO-IASP activities[J]. J Pain Symptom Manage, 2002, 24(2): 97-101.
[2] SCHOPFLOCHER D, TAENZER P, JOVEY R. The prevalence of chronic pain in Canada[J]. Pain Res Manag, 2011, 16(6): 445-450.
[3] KORI S H, MILLER R P, TODD D D. Kinesiophobia: a new view of chronic pain behavior[J]. Pain Manag, 1990, 3: 35-43.
[4] LUQUE-SUAREZ A, MARTINEZ-CALDERON J, FALLA D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review[J]. Br J Sports Med, 2018. pii: bjsports-2017-098673. [Epub ahead of print]
[5] 刘延锦, 蔡立柏, 徐秋露, 等. 慢性疼痛患者恐动症的研究进展[J]. 中华护理杂志, 2017, 52(2): 234-239.
[6] 杜世正, 胡玲莉, 柏亚妹, 等. 慢性腰背痛患者恐惧-回避信念水平及影响因素分析[J]. 护理学杂志, 2016, 31(6): 86-90.
[7] FARRAR J T, PRITCHETT Y L, ROBINSON M, et al. The clinical importance of changes in the 0 to 10 numeric rating scale for worst, least, and average pain intensity: analyses of data from clinical trials of duloxetine in pain disorders[J]. Pain, 2010, 11(2): 109-118.
[8] 胡文. 简体中文版TSK和FABQ量表的文化调适及其在退行性腰腿痛中的应用研究[D]. 上海: 第二军医大学, 2012.
[9] BRÄNSTRÖM H, FAHLSTRÖM M. Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women[J]. Rehabil Med, 2008, 40(5): 375-380.
[10] MISTERSKA E, JANKOWSKI R, GŁOWACKI J, et al. Kinesiophobia in pre-operative patients with cervical discopathy and coexisting degenerative changes in relation to pain-related variables, psychological state and sports activity[J]. Med Sci Monit, 2015, 21: 181-194.
[11] 李梦诗, 顾申, 周玲君. 慢性疼痛患者疼痛功能障碍和生活满意度的影响因素分析[J]. 护理学报, 2014, 21(24): 5-8.
[12] 谢晓燕, 张娟, 赵莉. 疼痛和抑郁共患机制的研究进展[J]. 中国疼痛医学杂志, 2016, 22(1): 50-54.
[13] 周煜达, 叶祥明, 谭同才, 等. 麦肯基疗法联合核心稳定性训练对腰椎问盘突出症患者的疗效观察[J]. 温州医科大学学报, 2014, 44(8): 589-592.
[14] 宋春燕, 吴红艳, 戴红梅, 等. 慢性疼痛门诊患者心理体验的现象学研究[J]. 护理学杂志, 2017, 32(23): 81-84.
[15] LARSSON C, EKVALL H E, SUNDQUIST K, et al. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain[J].BMC Geriatr, 2016, 16: 128.