The effect of family functioning on exercise adherence in elderly patients with postoperative vertebral compression fractures and adjacent vertebral re-fractures
10.3761/j.issn.0254-1769.2025.10.002
- VernacularTitle:老年邻近椎体再骨折患者家庭功能与锻炼依从性的相关性研究
- Author:
Rui LI
1
;
Hong SONG
;
Chunyan ZHANG
;
Liming GENG
;
Wenjuan CAI
;
Yifan LI
Author Information
1. 221000 徐州市 徐州医科大学第二附属医院骨科脊柱外科
- Publication Type:Journal Article
- Keywords:
Aged;
Vertebral Compression Fractures;
Adjacent Vertebral Re-Fracture;
Family Function;
Exercise Adherence;
Kinesophobia;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(10):1164-1170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To test the longitudinal mediating mechanism of kinesophobia between family functioning and exercise adherence in elderly patients with postoperative adjacent vertebral re-fracture after osteoporotic vertebral compression fracture(OVCF).Methods Convenience sampling method was used to admit to the Department of Orthopaedics of a tertiary hospital in Xuzhou City with adjacent vertebral re-fracture after OVCF were conveniently selected as the survey subjects,and longitudinal investigation was conducted using the APGAR,Functional Exercise Adherence Scale,and TSK Scale.Unconditional potential growth model,structural equation and Bootstrap method were used for statistical analysis.Results A total of 232 valid questionnaires were collected.Longitudinal mediation modeling revealed that the intercept of family functioning significantly negatively predicted the intercept of kinesophobia(β=-0.456,P＜0.001)and the slope of family functioning significantly negatively predicted the slope of kinesophobia(β=-0.962,P＜0.001).The intercept for kinesophobia significantly negatively predicted the intercept for exercise adherence(β=-0.623,P＜0.001)and significantly negatively predicted the slope for exercise adherence(β=-0.354,P=0.013).Conclusion The initial level and rate of development of kinesophobia play a fully longitudinal mediating role in the development of family functioning on exercise adherence.Medical professionals should assess and manage patients'family functioning and kinesophobia in a timely manner,and rationally utilize their interrelationships to improve the level of exercise adherence as much as possible.
