A Research On Influencing Factors Of Kinesophobia In Patients With Knee Arthroplasty

ObjectivesThe purpose of this study was to analyze the current status of kinesophobia in knee arthroplasty patients and its influencing factors.The role of social support,pain resilience,and rehabilitation self-efficacy was analyzed in relation to kinesophobia in knee arthroplasty patients.The mechanism of each factor was discussed.To provide a theoretical basis for healthcare professionals to develop interventions to reduce kinesophobia in knee arthroplasty patients from various aspects.MethodsA total of 243 knee arthroplasty patients who met the inclusion in 2 hospitals in Chengdu were selected by convenience sampling method from February 2022 to October 2022.The General Information Questionnaire,Tampa Scale of Kinesophobia(TSK-11),Groningen Orthopaedic Social Support Scale(GO-SSS),Pain Resilience Scale(PRS),and Self-efficacy For Rehabilitation Outcome Scale(SER)were applied to the study subjects.The influencing factors of kinesophobia were analyzed by univariate and multivariate analysis.With kinesophobia as the dependent variable,social support as the independent variable,and pain resilience and rehabilitation self-efficacy as the mediating variables,and path analysis was performed using AMOS,and the Bootstrop sampling method was used to test for mediating effects.Results(1)The incidence of kinesophobia in knee arthroplasty patients in this study was45.68%.(2)Univariate analysis showed that there were significant differences between ages,ethnicity,education,lifestyle,postoperative pain in the incidence of kinesophobia in knee arthroplastyt patients(p <0.05).(3)Correlation analysis showed that the kinesophobia was negatively associated with social support,pain resilience,and rehabilitation self-efficacy(p <0.001).(4)Binary logistic regression analysis showed that age,lifestyle,pain resilience,and rehabilitation self-efficacy were the main influencing factors on kinesophobia in knee arthroplasty patients,explaining 66.66% of the total variance(p<0.05).(5)The mediation effect analysis result show that: pain resilience and rehabilitation self-efficacy have a complete chain effect between social support and kinesophobia.(6)Cluster analysis revealed no significant difference between the constructed model in patients with total knee arthroplasty and unicompartmental arthroplasty(ΔGFI=-0.003,ΔTLI=0.006).Conclusion(1)The incidence of kinesophobia was high in patients with knee arthroplasty.(2)In knee joint arthroplasty patients with advanced age,a family of three,low pain resilience and low rehabilitation self-efficacy have a higher incidence of kinesophobia.(3)Orthopaedic social support can indirectly influence the kinesophobia through pain resilience,rehabilitation self-efficacy,and the chain-mediated pathway of the two,respectively.Therefore,in order to reduce kinesophobia,health care providers can start by enhancing pain resilience and rehabilitation self-efficacy.