中国实用神经疾病杂志2025，Vol.28Issue(10)：1240-1245,6.DOI:10.12083/SYSJ.240881
老年脑卒中后偏瘫患者恐动症及心理状态与生活质量的关系
Relationship between kinesiophobia,mental state and quality of life in elderly patients with hemiplegia after stroke
摘要
Abstract
Objective To investigate the relationship between kinesiophobia,psychological state and quality of life in elderly patients with hemiplegia after stroke.Methods A total of 120 elderly patients with hemiplegia after stroke admitted to the General Hospital of Eastern Theater Command of PLA from December 2021 to December 2023 were retrospectively selected as the research objects.The general information questionnaire,Tampa scale of kinesiophobia,self-rating anxiety scale,self-rating depression scale and quality of life scale were used to evaluate the general information,kinesiophobia status,psychological status and quality of life of the patients.Spearman rank correlation was used to analyze the correlation between kinesiophobia,psychological status and quality of life.Results The TSK score in female was higher than that in male(t=4.769,P＜0.001),the TSK score in patients＞66 years old was higher than that in patients ≤66 years old(t=3.498,P=0.001),and the TSK score in senior high school and above was higher than that in junior high school and below(t=4.860,P=0.001).The patients with monthly income less than 3 000 yuan were more likely to develop kinesiophobia than those with monthly income 3 000 yuan or more(t=7.001,P＜0.001).The anxiety and depression scores of female were higher than those of male(t=7.990,10.250,P＜0.001),and the anxiety and depression scores of senior high school and above were higher than those of junior high school and below(t=12.115,7.388,P＜0.001).The anxiety and depression scores of those without spouse were higher than those with spouse(t=8.580,12.482,P＜0.001),and the anxiety and depression scores of those without children were higher than those with children(t=7.340,6.470,P＜0.001).The quality of life score of female was higher than that of male(t=15.193,P＜0.001),the quality of life score of patients＞66 years old was lower than that of patients ≤66 years old(t=15.099,P＜0.001),the quality of life score of patients with no spouse was lower than that of patients with spouse(t=20.212,P＜0.001).The quality of life score of patients with monthly income less than 3 000 yuan was higher than that of patients with monthly income 3 000 yuan or more(t=4.784,P＜0.001).The quality of life score of patients without children was lower than that of patients with children(t=2.582,P=0.011).Spearman correlation analysis showed that kinesiophobia was positively correlated with mental state(r=0.317,P=0.029),mental state was negatively correlated with quality of life(r=-0.538,P=0.007),and kinesiophobia was negatively correlated with quality of life(r=-0.442,P=0.003).Conclusion There is a close relationship among kinesiophobia symptoms,psychological state and quality of life in elderly patients with hemiplegia after stroke.The more serious the kinesiophobia symptoms,the worse the psychological state and the quality of life.It is of great significance to pay attention to the mental health of patients and reduce kinesiophobia symptoms for improving the quality of life.关键词
脑卒中/偏瘫/恐动症/心理状态/生活质量/老年Key words
Stroke/Hemiplegia/Kinesiophobia/Mental state/Quality of life/Elderly分类
医药卫生引用本文复制引用
陈春羽,王萍萍,裴英芹,李金萍,李自荣..老年脑卒中后偏瘫患者恐动症及心理状态与生活质量的关系[J].中国实用神经疾病杂志,2025,28(10):1240-1245,6.基金项目
江苏省卫生健康委科研项目(编号:H2019022) （编号:H2019022）
