背景:本文回顾了心脏手术后患者运动恐惧症的研究范围。Further,它回顾了目前的情况,评估工具,危险因素,不利影响,以及运动恐惧症的干预方法,为促进心脏手术后患者的早期康复提供参考。
方法:在范围界定方法的指导下,WebofScience,PubMed,CINAHL,科克伦图书馆,中国生物医学文献数据库,VIP数据库,万方数据库,CNKI,和其他数据库从数据库开始到2024年7月31日进行搜索。对获得的研究进行了筛选,由两名研究人员进行了总结和系统分析。
结果:18项研究(16项横断面研究,一项定性研究,包括一项随机对照试验)。心脏手术后患者运动恐惧症的发生率为39.20-82.57%,并使用Tampa心脏恐惧症量表(TSK-SVHeart)评估该发生率。心脏手术后患者运动恐惧症的影响因素包括人口学特征、疼痛严重程度,脆弱,锻炼自我效能感,疾病相关因素,和社会心理因素。运动恐惧症导致不良的健康结果,如恢复减少,住院时间延长,心脏手术后患者的生活质量下降,关于术后运动恐惧症干预方法的研究较少。
结论:应改进适用于心脏手术后患者的运动恐惧症评估工具,积极研究促进临床大手术患者和疑难危重症患者早日康复的干预方法。
BACKGROUND: This paper reviews the scope of research on
kinesiophobia in patients after cardiac surgery. Further, it reviews the current situation, evaluation tools, risk factors, adverse effects, and intervention methods of kinesiophobia to provide a reference for promoting early rehabilitation of patients after cardiac surgery.
METHODS: Guided by the scoping methodology, the Web of Science, PubMed, CINAHL, Cochrane Library, China Biomedical Literature Database, VIP Database, Wanfang Database, CNKI, and other databases were searched from database inception until July 31, 2024. The studies obtained were screened, summarised and systematically analysed by two researchers.
RESULTS: Eighteen studies (16 cross-sectional studies, one qualitative study, and one randomised controlled trial) were included. The incidence of
kinesiophobia in patients after cardiac surgery was 39.20-82.57%, and the Tampa Scale for
Kinesiophobia Heart (TSK-SV Heart) was used to evaluate this incidence. The influencing factors of kinesiophobia in patients after cardiac surgery included demographic characteristics, pain severity, frailty, exercise self-efficacy, disease-related factors, and psychosocial factors.
Kinesiophobia led to adverse health outcomes such as reduced recovery, prolonged hospital stays, and decreased quality of life in patients after cardiac surgery, and there were few studies on intervention methods for postoperative kinesiophobia.
CONCLUSIONS: The
kinesiophobia assessment tools suitable for patients after cardiac surgery should be improved, and intervention methods to promote the early recovery of patients after major clinical surgery and those with difficult and critical diseases should be actively researched.