Potential categories and influencing factors of kinesiophobia trajectories in patients after total hip arthroplasty_West China Medical Journal

Authors：

LAI Ting ^1,2,3 ,  WU Minglong ^1,2 , HU Kaili ^1,2 , HU Jiaxin ^2,3 , ZHOU Xinke ³

1. Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P. R. China;
2. Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P. R. China;
3. School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P. R. China;

Corresponding?author：

WU Minglong, Email: 1924212533@qq.com

Keywords：

Total hip arthroplasty; kinesiophobia; longitudinal study; trajectory; latent category growth model; influencing factors

DOI：

10.7507/1002-0179.202406050

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Objective To investigate the development trajectories of kinesiophobia and their influencing factors in patients after total hip arthroplasty (THA). Methods Patients after THA from three tertiary hospitals in Wuhan from February to June 2023 were selected by convenience sampling method. The general situation questionnaire, Tampa Scale for Kinesiophobia, Self-Efficacy for Exercise Scale (SEE), Groningen Orthopaedic Social Support Scale, Generalized Anxiety Disorder, Patient Health Questionnaire, and Visual Analogue Scale (VAS) were distributed 1-2 d after surgery (T1), which were used again 1 week (T2), 1 month (T3), and 3 months (T4) after surgery, to evaluate the level of kinesiophobia and the physical and psychological conditions of the patients. The latent category growth model was used to classify the kinesiophobia trajectories of patients after THA, and the influencing factors of different categories of kinesiophobia trajectories were analyzed. Results A total of 263 patients after THA were included. The kinesiophobia trajectories of patients after THA were divided into four potential categories, including 29 cases in the C1 high kinesiophobia persistent group, 41 cases in the C2 medium kinesiophobia improvement group, 131 cases in the C3 low kinesiophobia improvement group, and 62 cases in the C4 no kinesiophobia group. Multicategorical logistic regression analysis showed that compared to the C4 no kinesiophobia group, the influencing factors for the kinesiophobia trajectory in THA patients to develop into the C1 high kinesiophobia persistent group were age [odds ratio (OR)=1.081, 95% confidence interval (CI) (1.025, 1.140)], chronic comorbidities [OR=6.471, 95%CI (1.831, 22.872)], the average SEE score at T1-T4 time points [OR=0.867, 95%CI (0.808, 0.931)], and the average VAS score at T1-T4 time points [OR=7.981, 95%CI (1.718, 37.074)], the influencing factors for the kinesiophobia trajectory to develop into the C2 medium kinesiophobia improvement group were age [OR=1.049, 95%CI (1.010, 1.089)], education level [OR=0.244, 95%CI (0.085, 0.703)], and the average VAS score at T1-T4 time points [OR=8.357, 95%CI (2.300, 30.368)], and the influencing factors for the kinesiophobia trajectory to develop into the C3 low kinesiophobia improvement group were the average SEE score [OR=0.871, 95%CI (0.825, 0.920)] and the average VAS score at T1-T4 time points [OR=4.167, 95%CI (1.544, 11.245)] . Conclusion Kinesiophobia in patients after THA presents different trajectories, and nurses should pay attention to the assessment and intervention of kinesiophobia in patients with advanced age, low education level, chronic diseases, low exercise self-efficacy, and high pain level.

Citation： LAI Ting, WU Minglong, HU Kaili, HU Jiaxin, ZHOU Xinke. Potential categories and influencing factors of kinesiophobia trajectories in patients after total hip arthroplasty. West China Medical Journal, 2024, 39(10): 1571-1578. doi: 10.7507/1002-0179.202406050 Copy

1.	李川, 錢東陽, 王斌, 等. 中國髖關節置換入路選擇臨床實踐指南. 中華關節外科雜志, 2021, 15(6): 651-659.
2.	邊焱焱, 程開源, 常曉, 等. 2011 至 2019 年中國人工髖膝關節置換手術量的初步統計與分析. 中華骨科雜志, 2020, 40(21): 1453-1460.
3.	童培建. 髖膝關節置換圍手術期加速康復專家共識. 實用骨科雜志, 2021, 27(11): 961-965.
4.	Chua MJ, Hart AJ, Mittal R, et al. Early mobilisation after total hip or knee arthroplasty: a multicentre prospective observational study. PLoS One, 2017, 12(6): e0179820.
5.	Güney H, Kinikli G, Karaha S, et al. The relationship between kinesiophobia and early functional and physiological outcomes in patients with total hip and knee arthroplasty. Occup Ther Rehabil, 2016, 4(2): 97-101.
6.	Kori S, Miller R, Todd DD. Kinesiophobia: a new view of chronic pain behavior. Pain Manag, 1990(3): 35-43.
7.	Alsaleem MK, Alkhars AM, Alalwan HA, et al. Kinesiophobia post total hip arthroplasty: a retrospective study. Cureus, 2021, 13(6): e15991.
8.	Hidaka R, Tanaka T, Hashikura K, et al. Association of high kinesiophobia and pain catastrophizing with quality of life in severe hip osteoarthritis: a cross-sectional study. BMC Musculoskelet Disord, 2023, 24(1): 388.
9.	何沁芮, 云潔, 毛雨婷, 等. 髖關節置換術后患者恐動癥影響因素的 Meta 分析. 中國療養醫學, 2024, 33(1): 73-76.
10.	黃莉, 楊旭, 李芳芳, 等. 髖、膝關節置換術后患者恐動癥發生現狀及影響因素分析. 中華骨與關節外科雜志, 2023, 16(11): 1001-1007.
11.	胡文. 簡體中文版 TSK 和 FABQ 量表的文化調適及其在退行性腰腿痛中的應用研究. 上海: 第二軍醫大學, 2012.
12.	Resnick B, Jenkins LS. Testing the reliability and validity of the Self-Efficacy for Exercise scale. Nurs Res, 2000, 49(3): 154-159.
13.	Lee LL, Perng SJ, Ho CC, et al. A preliminary reliability and validity study of the Chinese version of the self-efficacy for exercise scale for older adults. Int J Nurs Stud, 2009, 46(2): 230-238.
14.	van den Akker-Scheek I, Stevens M, Spriensma A, et al. Groningen Orthopaedic Social Support Scale: validity and reliability. J Adv Nurs, 2004, 47(1): 57-63.
15.	Plummer F, Manea L, Trepel D, et al. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry, 2016, 39: 24-31.
16.	Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care, 2003, 41(11): 1284-1292.
17.	王紅霞, 唐霖, 張萍. 骨科術后患者 4 種疼痛評估方法適用性研究. 護理學雜志, 2013, 28(6): 5-7.
18.	關燁, 張光鉑. 中國骨科康復學. 北京: 人民軍醫出版社, 2011: 5-6.
19.	王文慧, 張利峰, 李信欣, 等. 髖關節置換術后患者不同時期關節功能變化及其影響因素研究. 中華護理雜志, 2017, 52(6): 649-653.
20.	王孟成, 鄧俏文, 畢向陽, 等. 分類精確性指數 Entropy 在潛剖面分析中的表現: 一項蒙特卡羅模擬研究. 心理學報, 2017, 49(11): 1473-1482.
21.	Yan Z, Wu Y, Liu M, et al. Heterogeneous trajectories of kinesiophobia and their effects on rehabilitation outcomes after total knee arthroplasty: a prospective cohort study. J Orthop Surg Res, 2023, 18(1): 449.
22.	Zhou Y, Ma L. Intrinsic capacity in older adults: recent advances. Aging Dis, 2022, 13(2): 353-359.
23.	馬遠征, 王以朋, 劉強, 等. 中國老年骨質疏松診療指南(2018). 中國老年學雜志, 2019, 39(11): 2557-2575.
24.	閆江濤, 李純, 馮凱, 等. 影響老年股骨粗隆間骨折患者術后髖關節功能評分的相關因素探討. 中國臨床保健雜志, 2021, 24(5): 667-670.
25.	李滬生, 吳靜, 董鳳偉, 等. 心房顫動患者射頻消融術后運動恐懼的潛在剖面分析. 護理學雜志, 2023, 38(10): 43-46, 64.
26.	Cetinkaya Eren O, Buker N, Tonak HA, et al. The effect of video-assisted discharge education after total hip replacement surgery: a randomized controlled study. Sci Rep, 2022, 12(1): 3067.
27.	Wu WW, Yu TH, Jou ST, et al. Physical activity self-efficacy mediates the effect of symptom distress on exercise involvement among adolescents undergoing cancer treatment. Eur J Cancer Care (Engl), 2019, 28(4): e13045.
28.	Alavijeh MS, Zandiyeh Z, Moeini M. The effect of self-care self-efficacy program on life satisfaction of the Iranian elderly. J Educ Health Promot, 2021, 10(1): 167.
29.	Zhou Y, Gao W, Gao S, et al. Pain catastrophizing, kinesiophobia and exercise adherence in patients after total knee arthroplasty: the mediating role of exercise self-efficacy. J Pain Res, 2023, 16: 3993-4004.
30.	酈杭婷, 沈嬌妮, 萬昕瑞, 等. 髖膝關節置換術患者康復自我效能感在正念與恐動癥間的中介效應研究. 中華護理雜志, 2022, 57(10): 1177-1183.
31.	葉菁菁, 張詠梅, 謝倩倩, 等. 基于行為改變輪理論的健康教育與康復鍛煉對全髖關節置換術后患者髖關節功能恢復的影響. 現代預防醫學, 2021, 48(6): 1132-1135, 1148.
32.	梁飛燕, 王富珍. 成人下肢創傷性骨折病人術后恐動癥的影響因素及路徑分析. 護理研究, 2022, 36(7): 1170-1174.
33.	Kurien T, Arendt-Nielsen L, Petersen KK, et al. Preoperative neuropathic pain-like symptoms and central pain mechanisms in knee osteoarthritis predicts poor outcome 6 months after total knee replacement surgery. J Pain, 2018, 19(11): 1329-1341.
34.	Goff AJ, Jones LE, Lim CJ, et al. A cross sectional study exploring the relationship of self-reported physical activity with function, kinesiophobia, self-efficacy and quality of life in an Asian population seeking care for knee osteoarthritis. BMC Musculoskelet Disord, 2024, 25(1): 74.
35.	Duport A, Pelletier R, Martel M, et al. The influence of kinesiophobia and pain catastrophizing on pain-induced corticomotor modulation in healthy participants: a cross sectional study. Neurophysiol Clin, 2022, 52(5): 375-383.

1. 李川, 錢東陽, 王斌, 等. 中國髖關節置換入路選擇臨床實踐指南. 中華關節外科雜志, 2021, 15(6): 651-659.
2. 邊焱焱, 程開源, 常曉, 等. 2011 至 2019 年中國人工髖膝關節置換手術量的初步統計與分析. 中華骨科雜志, 2020, 40(21): 1453-1460.
3. 童培建. 髖膝關節置換圍手術期加速康復專家共識. 實用骨科雜志, 2021, 27(11): 961-965.
4. Chua MJ, Hart AJ, Mittal R, et al. Early mobilisation after total hip or knee arthroplasty: a multicentre prospective observational study. PLoS One, 2017, 12(6): e0179820.
5. Güney H, Kinikli G, Karaha S, et al. The relationship between kinesiophobia and early functional and physiological outcomes in patients with total hip and knee arthroplasty. Occup Ther Rehabil, 2016, 4(2): 97-101.
6. Kori S, Miller R, Todd DD. Kinesiophobia: a new view of chronic pain behavior. Pain Manag, 1990(3): 35-43.
7. Alsaleem MK, Alkhars AM, Alalwan HA, et al. Kinesiophobia post total hip arthroplasty: a retrospective study. Cureus, 2021, 13(6): e15991.
8. Hidaka R, Tanaka T, Hashikura K, et al. Association of high kinesiophobia and pain catastrophizing with quality of life in severe hip osteoarthritis: a cross-sectional study. BMC Musculoskelet Disord, 2023, 24(1): 388.
9. 何沁芮, 云潔, 毛雨婷, 等. 髖關節置換術后患者恐動癥影響因素的 Meta 分析. 中國療養醫學, 2024, 33(1): 73-76.
10. 黃莉, 楊旭, 李芳芳, 等. 髖、膝關節置換術后患者恐動癥發生現狀及影響因素分析. 中華骨與關節外科雜志, 2023, 16(11): 1001-1007.
11. 胡文. 簡體中文版 TSK 和 FABQ 量表的文化調適及其在退行性腰腿痛中的應用研究. 上海: 第二軍醫大學, 2012.
12. Resnick B, Jenkins LS. Testing the reliability and validity of the Self-Efficacy for Exercise scale. Nurs Res, 2000, 49(3): 154-159.
13. Lee LL, Perng SJ, Ho CC, et al. A preliminary reliability and validity study of the Chinese version of the self-efficacy for exercise scale for older adults. Int J Nurs Stud, 2009, 46(2): 230-238.
14. van den Akker-Scheek I, Stevens M, Spriensma A, et al. Groningen Orthopaedic Social Support Scale: validity and reliability. J Adv Nurs, 2004, 47(1): 57-63.
15. Plummer F, Manea L, Trepel D, et al. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry, 2016, 39: 24-31.
16. Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care, 2003, 41(11): 1284-1292.
17. 王紅霞, 唐霖, 張萍. 骨科術后患者 4 種疼痛評估方法適用性研究. 護理學雜志, 2013, 28(6): 5-7.
18. 關燁, 張光鉑. 中國骨科康復學. 北京: 人民軍醫出版社, 2011: 5-6.
19. 王文慧, 張利峰, 李信欣, 等. 髖關節置換術后患者不同時期關節功能變化及其影響因素研究. 中華護理雜志, 2017, 52(6): 649-653.
20. 王孟成, 鄧俏文, 畢向陽, 等. 分類精確性指數 Entropy 在潛剖面分析中的表現: 一項蒙特卡羅模擬研究. 心理學報, 2017, 49(11): 1473-1482.
21. Yan Z, Wu Y, Liu M, et al. Heterogeneous trajectories of kinesiophobia and their effects on rehabilitation outcomes after total knee arthroplasty: a prospective cohort study. J Orthop Surg Res, 2023, 18(1): 449.
22. Zhou Y, Ma L. Intrinsic capacity in older adults: recent advances. Aging Dis, 2022, 13(2): 353-359.
23. 馬遠征, 王以朋, 劉強, 等. 中國老年骨質疏松診療指南(2018). 中國老年學雜志, 2019, 39(11): 2557-2575.
24. 閆江濤, 李純, 馮凱, 等. 影響老年股骨粗隆間骨折患者術后髖關節功能評分的相關因素探討. 中國臨床保健雜志, 2021, 24(5): 667-670.
25. 李滬生, 吳靜, 董鳳偉, 等. 心房顫動患者射頻消融術后運動恐懼的潛在剖面分析. 護理學雜志, 2023, 38(10): 43-46, 64.
26. Cetinkaya Eren O, Buker N, Tonak HA, et al. The effect of video-assisted discharge education after total hip replacement surgery: a randomized controlled study. Sci Rep, 2022, 12(1): 3067.
27. Wu WW, Yu TH, Jou ST, et al. Physical activity self-efficacy mediates the effect of symptom distress on exercise involvement among adolescents undergoing cancer treatment. Eur J Cancer Care (Engl), 2019, 28(4): e13045.
28. Alavijeh MS, Zandiyeh Z, Moeini M. The effect of self-care self-efficacy program on life satisfaction of the Iranian elderly. J Educ Health Promot, 2021, 10(1): 167.
29. Zhou Y, Gao W, Gao S, et al. Pain catastrophizing, kinesiophobia and exercise adherence in patients after total knee arthroplasty: the mediating role of exercise self-efficacy. J Pain Res, 2023, 16: 3993-4004.
30. 酈杭婷, 沈嬌妮, 萬昕瑞, 等. 髖膝關節置換術患者康復自我效能感在正念與恐動癥間的中介效應研究. 中華護理雜志, 2022, 57(10): 1177-1183.
31. 葉菁菁, 張詠梅, 謝倩倩, 等. 基于行為改變輪理論的健康教育與康復鍛煉對全髖關節置換術后患者髖關節功能恢復的影響. 現代預防醫學, 2021, 48(6): 1132-1135, 1148.
32. 梁飛燕, 王富珍. 成人下肢創傷性骨折病人術后恐動癥的影響因素及路徑分析. 護理研究, 2022, 36(7): 1170-1174.
33. Kurien T, Arendt-Nielsen L, Petersen KK, et al. Preoperative neuropathic pain-like symptoms and central pain mechanisms in knee osteoarthritis predicts poor outcome 6 months after total knee replacement surgery. J Pain, 2018, 19(11): 1329-1341.
34. Goff AJ, Jones LE, Lim CJ, et al. A cross sectional study exploring the relationship of self-reported physical activity with function, kinesiophobia, self-efficacy and quality of life in an Asian population seeking care for knee osteoarthritis. BMC Musculoskelet Disord, 2024, 25(1): 74.
35. Duport A, Pelletier R, Martel M, et al. The influence of kinesiophobia and pain catastrophizing on pain-induced corticomotor modulation in healthy participants: a cross sectional study. Neurophysiol Clin, 2022, 52(5): 375-383.

West China Medical Journal

Potential categories and influencing factors of kinesiophobia trajectories in patients after total hip arthroplasty

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