影响腰椎间盘突出症患者术后运动恐惧症发生的因素。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Lin-Feng Zhou, Tao Jiang, Xiao-Qin Zhang, Zhi-Rong Li
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引用次数: 0

摘要

本研究旨在分析腰椎间盘突出症患者术后发生运动恐惧症的潜在危险因素,并采用logistic回归和决策树方法构建预测模型。我们回顾性分析2021年1月至2023年12月间342例手术治疗的腰椎间盘突出症患者的临床资料,根据术后运动恐惧症的发生情况进行分组,应用多因素logistic回归确定主要影响因素,并借助SPSS Modeler软件构建预测模型,进一步评价其预测效果。研究发现,运动恐惧症的发生率为37.46%;运动恐惧症组与非运动恐惧症组在受教育程度、疼痛视觉模拟量表(VAS)评分、医院焦虑抑郁量表(HADS)评分、自我效能感、家庭人均月收入、医疗费用支付方式等方面差异均有统计学意义(P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors influencing the occurrence of postoperative kinesiophobia in patients with lumbar disc herniation.

This study was intended to analyze the potential risk factors associated with postoperative onset of kinesiophobia in patients with lumbar disc herniation and to construct a predictive model using logistic regression and decision tree methods. We retrospectively evaluated the clinical data of 342 lumbar disc herniation patients who underwent surgical treatment between January 2021 and December 2023, grouped them according to the occurrence of postoperative kinesiophobia, applied multifactorial logistic regression to determine the main influencing factors, and constructed a prediction model with the help of SPSS Modeler software to further evaluate its predictive effect. The study found that the incidence of kinesiophobia was 37.46%; statistically significant differences were found between the kinesiophobia group and the nonkinesiophobia group in terms of education level, visual analog scale (VAS) score of pain, Hospital Anxiety and Depression Scale (HADS) score, self-efficacy, per capita monthly family income, and mode of payment of medical expenses (P < .05). Multifactorial Logistic regression suggested that all of the above factors were independent influencing variables of kinesiophobia (P < .05). Decision tree modeling revealed that self-efficacy was the first discriminant variable, followed by payment method, VAS, HADS score, and income level. Analysis of the subjects' job characteristic curve (receiver operating characteristic) showed that the predictive power of the decision tree model was significantly better than that of the logistic regression model (P < .05). Education level, VAS score, HADS score, self-efficacy, family financial status, and payment mode are all important risk factors for postoperative kinesiophobia, and the use of predictive modeling can be more effective in assessing the patient's condition and realizing early intervention.

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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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