Mediating effect of self-efficacy between postoperative pain and kinesiophobia in aged patients with femoral neck fracture
10.3969/j.issn.1671-8283.2023.10.006
- VernacularTitle:高龄股骨颈骨折患者自我效能在术后疼痛与恐动间的中介效应研究
- Author:
Changgao JI
1
;
Yuan LIANG
;
Guohong JIA
;
Ran ZHANG
Author Information
1. 首都医科大学附属北京朝阳医院骨科,北京,100020
- Keywords:
femoral neck fracture in the aged;
hip replacement;
self-efficacy;
postoperative pain;
postoperative kinesiophobia;
mediating effect
- From:
Modern Clinical Nursing
2023;22(10):35-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of self-efficacy and postoperative pain on postoperative kinesiophobia in aged patients with femoral neck fractures and explore the mediating effect of self-efficacy on postoperative pain and kinesiophobia of the patients.Methods A total of 120 aged patients with femoral neck fractures were included in the study.A cross-sectional study was conducted using general questionaire,the rehabilitation self-efficacy scale,digital pain rating scale and Tampa scale for kinesiophobia.Pearson correlation was used to analyse the correlations between postoperative pain,self-efficacy and postoperative kinesiophobia.AMOS21.0 software was used to establish the mediating effect model of self-efficacy between postoperative pain and postoperative kinesiophobia.The mediating effect was verified by Bootstarp confidence interval evaluation.Results All 120 aged patients with femoral neck fractures completed the study.The score of postoperative kinesiophobia was(40.27±12.85).The level of kinesiophobia was negatively correlated with the self-efficacy score(r=-0.571,P<0.01),and positively with the level of postoperative pain(r=0.766,P<0.01).The direct standardized effect of postoperative pain on postoperative panic level was 0.367,the direct standardized effect of self-efficacy on postoperative panic level was-0.485,the direct standardized effect of postoperative pain on self-efficacy was-0.716,the indirect standardized effect of postoperative pain on postoperative panic level was 0.347,and the total standardized effect was 0.714,accounting for 48.60%of the total effect.Conclusions Postoperative pain can directly affect postoperative kinesiophobia or indirectly affect it via self-efficacy in elderly patients with femoral neck fractures.Medical staff should improve the self-efficacy of the aged patients by relieving the postoperative pain and alleviating the postoperative kinesiophobia.
