Neuropsychiatric Disease and Treatment (Aug 2023)
Analysis of Factors Correlated with Postoperative Kinesiophobia in Patients with Cervical Spondylotic Myelopathy: A Cross-Sectional Survey
Abstract
Gui-Qin Zhong,1,* Bi-Hua Lin,1,* Yu-Xuan Chen,2 Yan-Juan Lin,1 Chun-Mei Chen3 1Department of Neurosurgery Nursing, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China; 2College of Nursing, Fujian Medical University, Fuzhou, 350108, People’s Republic of China; 3Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yan-Juan Lin, Department of Neurosurgery Nursing, Fujian Medical University Union Hospital, No. 29, Xin Quan Road, Fuzhou, Fujian Province, 350001, People’s Republic of China, Tel +8613365910562, Email [email protected] Chun-Mei Chen, Department of Neurosurgery, Fujian Medical University Union Hospital, No. 29, Xin Quan Road, Fuzhou City, Fujian Province, 350001, People’s Republic of China, Tel +8613365910678, Email [email protected]: To investigate the prevalence of postoperative kinesiophobia in patients with cervical spondylotic myelopathy (CSM) and factors influencing the occurrence of kinesiophobia, to provide relevant basis for making clinical decisions for targeted interventions.Methods: We enrolled a total of 85 patients who underwent CSM surgery at two grade-A general public hospitals in Fujian Province between September 2021 and May 2022. We conducted a questionnaire survey using the Tampa Scale for Kinesiophobia (TSK) and the Zung Self-Rating Anxiety Scale (SAS). Patients evaluated pain using a visual analogue scale. We used one-way ANOVA and logistic multiple regression analysis to identify the relevant influencing factors.Results: The TSK score was (41.88± 4.46) in 85 postoperative CSM patients, 65 males and 20 females, and there were 31 patients under 40 years old, 54 patients over 40 years old, 58 patients below high school education and 27 patients above high school education, and among them, 81.17% were diagnosed with kinesiophobia. Age was positively correlated with TSK score (r = 0.379, P < 0.05) and therefore a risk factor for kinesiophobia (OR = 1.941, 95% CI = 1.021– 3.690). Additionally, the duration of the disease was a protective factor for kinesiophobia (OR = 0.179, 95% CI = 0.053– 0.605).Conclusion: Patients with CSM were at high risk of developing kinesiophobia postoperatively. Age and duration of the disease were factors influencing the occurrence of kinesiophobia in this group.Keywords: cervical spondylotic myelopathy, influencing factors, kinesiophobia, postoperative
