《中国康复理论与实践》

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (2): 198-205.doi: 10.3969/j.issn.1006-9771.2026.02.009

• 应用研究 • 上一篇    下一篇

盆底功能障碍患者术后运动恐惧现状及其影响因素

陈琴1a, 黄龙贤1b()   

  1. 1.重庆医科大学附属第一医院，a妇科；b.护理部，重庆市 400016
  • 收稿日期:2025-12-15 出版日期:2026-02-25 发布日期:2026-03-02
  • 通讯作者: 黄龙贤，女，硕士，副主任护师，主要研究方向：老年护理、社区护理。E-mail： huanglongxian2016@163.com E-mail:huanglongxian2016@163.com
  • 作者简介:陈琴(1987-)，女，汉族，重庆市人，硕士研究生，主管护师，主要研究方向：老年护理、妇科护理、循证护理方向。
  • 基金资助:
    1. 重庆医科大学附属第一医院护理科研创新一般项目(HLYB2024-09);2. 重庆市卫生健康委医学科研项目(2026WSJK106)

Current status and influencing factors of post-operative kinesiophobia in patients with pelvic floor dysfunction

CHEN Qin1a, HUANG Longxian1b()   

  1. 1. a. Gynecology Department; b. Nursing Department, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Received:2025-12-15 Published:2026-02-25 Online:2026-03-02
  • Contact: HUANG Longxian, E-mail: huanglongxian2016@163.com E-mail:huanglongxian2016@163.com
  • Supported by:
    The First Affiliated Hospital of Chongqing Medical University Nursing Research and Innovation Program (General)(HLYB2024-09);Medical Research Project of Chongqing Municipal Health Commission(2026WSJK106)

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摘要：

目的 调查盆底功能障碍(PFD)患者术后运动恐惧症现状并分析其影响因素。

方法 2024年11月至2025年2月，选择重庆医科大学附属第一医院和重庆医科大学附属妇女儿童医院妇科因PFD住院行盆底重建手术的161例术后患者，采用方便抽样法进行问卷调查，包括一般资料调查表、疾病手术相关资料、术后相关资料、恐动症评估简表(TSK-11)和一般自我效能感量表(GSES)，并分析术后早期活动恐动症的影响因素。

结果 患者术后TSK-11评分为(29.88±3.07)分，136例术后存在恐动症。Logistic回归分析显示，术后24 h疼痛评分每增加1分(OR = 1.622, 95%CI 1.140~2.308, P = 0.007)、病程> 3年(OR = 3.813, 95%CI 1.090~13.340, P = 0.036)和经阴道手术(OR = 3.745, 95%CI 1.236~11.347, P = 0.020)是PFD患者术后恐动症发生的独立危险因素，接受术后早期下床活动指导(OR = 0.283, 95%CI 0.087~0.923, P = 0.036)和GSES评分高(OR = 0.924, 95%CI 0.868~0.984, P = 0.014)是保护因素。

结论 PFD患者术后恐动症发生率高，其影响因素主要包括术后疼痛程度、病程、经阴道手术、接受术后早期下床活动指导和自我效能感。

关键词: 盆底功能障碍, 盆底重建手术, 恐动症, 术后疼痛, 自我效能

Abstract:

Objective To investigate the current status of kinesiophobia in patients with pelvic floor dysfunction (PFD) after pelvic floor reconstruction and analyze its influencing factors.

Methods From November, 2024 to February, 2025, a total of 161 postoperative patients who underwent pelvic floor reconstruction for PFD in the First Affiliated Hospital of Chongqing Medical University and Women and Children's Hospital of Chongqing Medical University were selected. A questionnaire survey was conducted using the convenience sampling method. The questionnaires included a general information survey, disease and surgery-related information, postoperative-related information, Tampa Scale for Kinesiophobia-11 (TSK-11) and General Self-Efficacy Scale (GSES), and the influencing factors of kinesiophobia related to early postoperative ambulation were analyzed.

Results The TSK-11 score was (29.88±3.07), in which 136 cases exhibited clinically significant fear of movement. Logistic regression showed that each 1-point increase in pain score at 24 hours postoperatively (OR = 1.622, 95%CI 1.140 to 2.308, P = 0.007), disease course of more than three years (OR = 3.813, 95%CI 1.090 to 13.340, P = 0.036), and transvaginal surgery (OR = 3.745, 95%CI 1.236 to 11.347, P = 0.020) were independent risk factors for postoperative kinesiophobia. In contrast, receiving guidance on early ambulation after surgery (OR = 0.283, 95%CI 0.087 to 0.923, P = 0.036) and a high GSES score (OR = 0.924, 95%CI 0.868 to 0.984, P = 0.014) were protective factors.

Conclusion Incidence of kinesiophobia is high in patients with PFD after surgery. Postoperative pain, disease course, transvaginal surgery, receiving guidance on early ambulation after surgery, and self-efficacy were all associated with the occurrence of kinesiophobia.

Key words: pelvic floor dysfunction, pelvic floor reconstruction surgery, kinesiophobia, postoperation pain, self-efficacy

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