Postoperative kinesiophobia level in patients with spinal fracture and its correlations with rehabilitation self-efficacy and rehabilitation compliance
- VernacularTitle:脊柱骨折患者术后恐动水平及其与康复自我效能、康复依从性的相关性
- Author:
Yi YAO
1
;
Jiaxing TIAN
;
Xuanhui DAI
;
Xubo WANG
;
Yanmei WANG
;
Xin DONG
Author Information
- Publication Type:Research Article
- Keywords: spinal fracture; kinesiophobia level; rehabilitation self-efficacy; rehabilitation adherence; influencing factors
- From: Journal of Clinical Medicine in Practice 2024;28(21):127-131
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the kinesiophobia level in patients after spinal fracture surgery and their correlations with rehabilitation self-efficacy and adherence. Methods A total of 150 patients who underwent spinal fracture surgery were enrolled in this study. General information was collected from all patients. The Tampa Scale for Kinesiophobia, Self-Efficacy for Rehabilitation Outcomes Scale, department-developed Rehabilitation Adherence Scale and postoperative activity pain [assessed using the Visual Analogue Scale (VAS)] were analyzed. Pearson correlation analysis was used to examine the relationships of kinesiophobia level with rehabilitation self-efficacy and adherence. Multiple linear regression analysis was conducted to identify factors influencing kinesiophobia level. Results The total score of postoperative kinesiophobia level in patients with spinal fracture was (57.14±3.12), which was at a high level. The total score of rehabilitation self-efficacy was (35.19±3.45), which was at a low level. The total score of rehabilitation compliance was (16.46±2.32), which was at a low level. Pearson correlation analysis showed that the total score of kinesiophobia level was negatively correlated with the total score of rehabilitation self-efficacy and rehabilitation compliance (
P < 0.05). Univariate analysis revealed statistically significant differences in scores of kinesiophobia level among patients with different educational levels, postoperative activity pain and the presence or absence of postoperative complications (P < 0.05). Multiple linear regression analysis identified self-efficacy (B =-0.271, 95%CI, -0.439 to -0.103), adherence (B =-0.168, 95%CI, -0.331 to -0.004), educational level (B =0.190, 95%CI, 0.020 to 0.361), postoperative complications (B =0.403, 95%CI, 0.233 to 0.573) and postoperative activity pain (B =0.162, 95%CI, 0.003 to 0.320) were the influencing factors of postoperative kinesiophobia level in patients with spinal fracture. Conclusion The patients with spinal fracture have a higher level of kinesiophobia. The influencing factors of level of kinesiophobia are rehabilitation self-efficacy, rehabilitation compliance, education level, postoperative complications and postoperative activity pain.
