摘要
目的建立胫腓骨骨折患者术后发生恐动症预测列线图,为临床护士评估患者术后恐动症提供指导。方法选取2018年1月至2021年5月收治的248例行手术治疗胫腓骨骨折患者作为研究对象,使用简体中文版恐动症评分量表调查其术后发生恐动症情况,分析发生恐动症的影响因素并绘制列线图。结果胫腓骨骨折患者术后恐动症得分(40.59±6.26),发生恐动症95例(38.31%)。多因素Logistic回归分析可得,年龄、是否开放性骨折、日常生活活动依赖水平、疼痛经历、疼痛对情绪的影响、疼痛对日常生活的影响、对控制或减轻疼痛方法的满意度、对控制疼痛的教育的满意度、社会支持、自我效能感均是胫腓骨骨折患者术后发生恐动症的显著影响因素(P<0.05),基于多因素Logistic回归结果绘制列线图得分177~246,可预测风险概率为0.01~0.999。结论胫腓骨骨折患者术后发生恐动症概率较高,应通过有效疼痛管理、社会支持、改善日常生活活动依赖水平提升患者生活质量,纠正其术后恐动心理,列线图便于临床护士通过查图评估胫腓骨骨折患者术后恐动症的发生风险。
Objective To establish a predictive model and draw nomogram of postoperative kinesiophobia in patients with tibiofibular fracture,so as to provide guidance for clinical nurses in assessing patients with postoperative kinesiophobia.Methods Totally,248 patients with tibiofibular fracture treated by surgery in a hospital from January 2018 to May 2021 were selected as the research objects.The tampa scale for kinesiophobia(TSK)was used to investigate the occurrence of postoperative kinesiophobia.The influencing factors of the occurrence of kinesiophobia was analyzed to establish the prediction model and draw the nomogram.Results TSK score of patients with tibiofibular fracture was(40.59±6.26),and 95 patients(38.31%)had kinesiophobia.Multivariate logistic regression analysis showed that age,open fracture or not,Activity of Daily Living(ADL)dependence level,pain experience,the impact of pain on emotion,the impact of pain on daily life,satisfaction with pain control or pain relief methods,satisfaction with pain control education,social support and self-efficacy were significant influencing factors of postoperative kinesiophobia in patients with tibiofibular fracture(P<0.05).And the nomogram score was 177~246 based on multivariate Logistic regression analysis,while the predictive risk probability was 0.010~0.999.Conclusion Patients with tibiofibular fracture have a high probability of occurrence of kinesiophobia.Effective pain management and social support should be adopted to improve the quality of life of patients with high ADL dependence and correct their postoperative kinesiophobia.The predictive model nomogram are also convenient for clinical nurses to assess the risk of postoperative kinesiophobia in patients with tibiofibular fracture by looking up charts.
作者
毛雪
金鑫
赵溪
MAO Xue;JIN Xin;ZHAO Xi(Department of Nuclear Medicine,Liaoning Provincial People's Hospital,Shenyang 110061,China;Department of Orthopedics,Liaoning Provincial People's Hospital,Shenyang 110061,China)
出处
《护理管理杂志》
2022年第3期168-173,185,共7页
Journal of Nursing Administration
关键词
胫腓骨骨折
术后
恐动症
列线图
tibiofibular fracture
postoperative
kinesiophobia
nomogram
