老年创伤性颅脑损伤患者运动恐惧相关因素分析

Analysis of factors related to kinesiophobia in elderly patients with traumatic brain injury

中文关键词: 老年  创伤性颅脑损伤  运动恐惧  影响因素  Logistic回归分析  运动自我效能  自我感受负担

英文关键词: elderly  traumatic brain injury  kinesiophobia  influence factor  logistic regression analysis  exercise self-efficacy  self-perceived burden

中文摘要:

      目的 评估老年创伤性颅脑损伤(TBI)患者的运动恐惧水平,分析其相关因素.方法 选取2022年1月-2024年5月界首市人民医院收治的老年TBI患者111例,依据恐动症Tampa评分表(TSK)的评分分为运动恐惧组(n=71)与非运动恐惧组(n=40).通过单因素和多因素Logistic回归分析,探讨老年TBI患者运动恐惧的相关因素.结果 老年TBI运动恐惧发生率为63.96％,多因素Logistic回归分析显示,女性(OR=4.590,P=0.004)、大于2个脑区损伤(OR=5.949,P=0.002)、FPS-R 评分(OR=1.720,P=0.017)、SPBS 评分(OR=1.101,P=0.023)是老年 TBI 患者运动恐惧的独立危险因素(P＜0.05),而SEE评分(OR=0.881,P=0.005)是其保护因素(P＜0.05).结论 老年TBI患者运动恐惧发生率较高,其受到性别、损伤部位、疼痛程度、自我感受负担以及运动自我效能的共同影响,制定针对性的干预对策,对降低老年TBI患者的运动恐惧、提高其康复参与度具有重要意义.

英文摘要:

      Objective To evaluate the level of kinesiophobia in elderly patients with traumatic brain injury(TBI)and analyze its related factors.Methods 111 elderly TBI patients admitted to People's Hospital of Jieshou City from January 2022 to May 2024 were selected and divided into kinesiophobia group(n=71)and non-kinesiophobia group(n=40)based on their scores of Tampa Scale for Kinesiophobia.Univariate and multivariate logistic regression analyses were performed to identify the factors associated with kinesiophobia in elderly TBI patients.Results The incidence of kinesiophobia among elderly TBI pa-tients was 63.96％.Multivariate Logistic regression analysis showed that female(OR=4.590,P=0.004),injury involving＞2 brain regions(OR=5.949,P=0.002),FPS-R score(OR=1.720,P=0.017),and SPBS score(OR=1.101,P=0.023)were independent risk factors for kinesiophobia in elderly TBI patients(P＜0.05),while SEE score(OR=0.881,P=0.005)was a protective factor(P＜0.05).Conclusion The incidence of kinesiophobia is high in elderly TBI patients,and it is influenced by many factors including gender,injury site,pain degree,self-perceived burden,and exercise self-effica-cy.Developing targeted intervention strategies is of great significance for reducing the incidence of kinesiophobia and enhancing rehabilitation participation in elderly TBI patients.