解放军医学院学报2025，Vol.46Issue(9)：855-860,882,7.DOI:10.12435/j.issn.2095-5227.25041004
基层官兵军事训练伤康复期疼痛、疼痛灾难化、领悟社会支持与运动恐惧关系的结构方程模型构建研究
Construction of a structural equation model for pain,pain catastrophizing,perceived social support with kinesiophobia during rehabilitation period of military training injuries in grassroots soldiers
摘要
Abstract
Background Kinesiophobia during the rehabilitation period of military training injuries in grassroots soldiers affects recovery outcomes and is intricately interrelated with pain,pain catastrophizing cognition,and social support factors,but the underlying mechanisms remain unclear.Objective To explore the interaction mechanisms among pain,pain catastrophizing,perceived social support,and kinesiophobia during the rehabilitation period of military training injuries in grassroots soldiers using a structural equation model,and provide theoretical reference for psychological interventions during the rehabilitation period.Methods A convenience sampling method was used to select 627 grassroots soldiers in the rehabilitation period of military training injuries from 15 grassroots units from October 2024 to March 2025.Data were collected using the general information questionnaire,the tampa scale for kinesiophobia(TSK),the visual analogue scale(VAS),the pain catastrophizing scale(PCS),and the perceived social support scale(PSSS).A structural equation model was constructed to analyze the path relationships among the variables.Results Among the 627 participants,the median TSK score was 33(IQR:23～38)points,and the prevalence of kinesiophobia was 32.22%(202/627).The structural equation model revealed that pain(β=0.202)and pain catastrophizing(β=0.397)exerted significant positive effects on kinesiophobia(P＜0.001).Perceived social support showed no direct effect(P=0.717),yet influenced kinesiophobia through three negative indirect pathways,via pain(β=-0.041),via pain catastrophizing(β=-0.079),and via the sequential"pain → pain catastrophizing"chain(β=-0.023,P＜0.001).Additionally,pain was found to indirectly contribute to kinesiophobia by increasing pain catastrophizing(β=0.112,P＜0.001),demonstrating a significant mediation effect in the model.Conclusion Kinesiophobia during rehabilitation among grassroots soldiers is primarily driven directly by pain and pain catastrophizing,while perceived social support exerts protective effects indirectly by alleviating pain and catastrophic cognitions.These findings provide empirical support for developing intervention strategies centered on enhancing social support,modifying catastrophic thinking,and optimizing pain management.关键词
军事训练伤/康复/运动恐惧/疼痛/疼痛灾难化/领悟社会支持/结构方程建模/军事人员Key words
military training injuries/rehabilitation/kinesiophobia/pain/pain catastrophizing/perceived social support/structural equation modeling/military personnel分类
医药卫生引用本文复制引用
邵梦琪,李佳楠,徐茂林,日火英支,许艳,宋杰,苏清清,孟祥飞,高远..基层官兵军事训练伤康复期疼痛、疼痛灾难化、领悟社会支持与运动恐惧关系的结构方程模型构建研究[J].解放军医学院学报,2025,46(9):855-860,882,7.基金项目
护理创新与培育专项(2021HL070) （2021HL070）
研究生资助课题(JY2023C240) （JY2023C240）
