Current status and influencing factors of alexithymia in patients with kinesiophobia after total knee arthroplasty
10.3760/cma.j.cn115682-20241128-06554
- VernacularTitle:全膝关节置换术后恐动症患者述情障碍现状及影响因素分析
- Author:
Hongxiu LIU
1
;
Libai CAI
;
Miaoran CUI
;
Yaping LIU
Author Information
1. 郑州大学第一附属医院东院区骨科一病区，郑州 450052
- Publication Type:Journal Article
- Keywords:
Cross-sectional studies;
Arthroplasty, replacement;
Knee joint;
Kinesiophobia;
Affective symptoms;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(29):3968-3975
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the alexithymia of patients with kinesiophobia after total knee arthroplasty (TKA) and analyze its influencing factors.Methods:Convenience sampling was used to select 221 patients with kinesiophobia after TKA admitted to the First Affiliated Hospital of Zhengzhou University in Henan Province between June and October 2024. A survey was conducted using the self-designed General Information Questionnaire, Tampa Scale of Kinesiophobia-11, Chinese version of Toronto Alexithymia Scale-20 (TAS-20), Social Support Rating Scale, and General Self-efficacy Scale. Multiple linear regression was used to analyze the factors influencing patients' alexithymia.Results:A total of 221 questionnaires were distributed, and 210 questionnaires were effectively collected, with an effective response rate of 95.02%. Chinese version of TAS-20 score of 210 patients with kinesiophobia after TKA were (60.70±8.16), and the incidence of alexithymia was 52.86% (111/210), mainly manifested as describing emotional feeling disorders and externally oriented thinking disorders. Multiple linear regression analysis showed that educational level, per capita monthly household income, personality types, score of kinesiophobia, self-efficacy, and social support were statistically significant factors influencing the alexithymia of patients with kinesiophobia after TKA ( P<0.05), explaining 83.50% of the total variance. Conclusions:Patients with kinesiophobia after TKA have a high level of alexithymia. Patients with low educational level, low per capita monthly household income, introverted personalities, high levels of kinesiophobia, low self-efficacy, and low levels of social support are prone to developing alexithymia. Healthcare professionals should pay attention to the alexithymia of patients with kinesiophobia after TKA. Effective measures should be formulated from the aspects of emotional education, disease cognition, social skill training, and social support to reduce the level of alexithymia in patients with kinesiophobia.
