نبذة مختصرة : Objective To analyze the mediating effect of falls efficacy on pain catastrophism and kinetophobia in patients with lumbar degenerative disease. Methods A total of 146 patients with lumbar degenerative disease admitted to the department of Spine Medicine, Tangshan Second Hospital from June 2022 to November 2022 were selected by convenience sampling, general information questionnaire, Tampa Scale for kinesiophobia-11(TSK-11), pain catastrophizing scale (PCS), and Brief Falls Efficacy Scale (FES-I) were used, Harman single factor test was used to test the common variance deviation, and SPSS macro-PROCESS 4. 1 was used to analyze the mediating effect. Results A total of 107(73. 29%) patients with lumbar degenerative disease had kinetophobia, and the scores of TSK-11 were positively correlated with the scores of falls efficacy and catastrophic pain (R=0. 792, 0. 760, P＜0. 001), there was a positive correlation between pain catastrophizing score and falls efficacy score (R= 0. 666, P＜0. 001). Falls efficacy partially mediated the association between catastrophic pain and kinetophobia in 45. 03% of the patients. Conclusion The falls efficacy of lumbar Degenerative disease patients partially mediates the association between cataclysmic pain and kinetophobia. Efforts should be made to reduce the level of pain catastrophism, improve the sense of self-efficacy and reduce the fear of patients in clinical nursing. (目的 分析跌倒效能感在腰椎退行性疾病患者疼痛灾难化与恐动症间的中介效应。方法 采取便利抽样法, 选取2022年6月—11月于唐山市第二医院脊柱科住院的146例腰椎退行性疾病患者为研究对象, 采用一般资料调查问卷、恐动症Tampa量表(TSK-11)、疼痛灾难化量表(PCS)、简明跌倒效能量表(简明FES-I)进行调查, 采用Harman单因素检验法进行共同方差偏差的检验, SPSS宏PROCESS 4. 1进行中介效应分析。结果 107(73. 29%)例腰椎退行性疾病患者存在恐动症; 腰椎退行性疾患者恐动症得分与跌倒效能感得分疼痛灾难化得分均呈正相关(r=0. 792, 0. 760, P＜0. 001), 疼痛灾难化得分与跌倒效能感得分呈正相关(r=0. 666, P＜0. 001)。跌倒效能在腰椎退行性疾病患者疼痛灾难化与恐动症间起部分中介作用, 效应占45. 03%。结论 腰椎退行性疾病患者跌倒效能感在疼痛灾难化与恐动症之间起部分中介作用, 临床护理中可以从降低患者疼痛灾难化水平角度出发给予干预, 提高患者跌倒效能感而减轻患者的恐动程度。)
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