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| 老年髋部骨折术后患者医院-居家过渡期恐动症变化及影响因素的纵向研究 |
| A longitudinal study on the changes and influencing factors of kinesiophobia during the hospital-home transition period in elderly patients after hip fracture surgery |
| 投稿时间：2025-09-22 修订日期：2026-06-13 |
| DOI： |
| 中文关键词: 髋部骨折 老年人 纵向研究 过渡期 恐动症 影响因素 |
| 英文关键词: Hip fracture Elderly Longitudinal study Transition period Kinesiophobia Influencing factors |
| 基金项目:2023年东莞市社会发展科技项目重点项目（项目编号：20231800935432） |
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| 中文摘要: |
| 目的 分析老年髋部骨折术后患者医院-居家过渡期恐动症变化轨迹及其影响因素，为制定个性化的过渡期护理干预方案提供科学依据。方法 采用纵向研究的方法，选取2024年10月至2025年4月东莞市中医院收治的156名老年髋部骨折术后患者，使用一般资料调查表、Harris髋关节评分（HHS）、恐动症量表分别在患者出院当天、出院后一周、出院后一个月共3个时间点进行测评。使用广义估计方程（GEE）分析老年髋部骨折术后患者恐动症在不同时间点的变化趋势及影响因素。结果 三个时间点的老年髋部骨折术后患者医院-居家过渡期的恐动症水平分别为（42.14±1.12）分（T1）、（46.05±1.10）分（T2）、（43.93±1.18）分（T3）。使用广义估计方程（GEE）分析表明，医院-居家过渡期老年髋部骨折术后患者恐动症得分随时间变化呈升高后再递减趋势，骨折类型、医疗支付方式、Harris髋关节评分与老年髋部骨折术后患者恐动症水平显著相关（P＜0.05）。结论 老年髋部骨折术后患者过渡期恐动症水平较高，且受骨折类型、医疗支付方式及髋关节功能的显著影响。临床应对高危人群实施分阶段干预，以提升居家康复效果。 |
| 英文摘要: |
| Objective To analyze the trajectory of kinesiophobia in elderly patients with hip fractures during the hospital-home transition period and its influencing factors, providing a scientific basis for formulating personalized transitional care intervention plans. Methods A longitudinal study was conducted on 156 elderly patients with hip fractures admitted to Dongguan Hospital of Traditional Chinese Medicine from October 2024 to April 2025. General information questionnaires, Harris Hip Score (HHS), and kinesiophobia scales were used to assess the patients on the day of discharge, one week after discharge, and one month after discharge. Generalized estimating equations (GEE) were used to analyze the changes in kinesiophobia scores of elderly patients with hip fractures at different time points and their influencing factors. Results The kinesiophobia levels of elderly patients with hip fractures during the hospital-home transition period at the three time points were (42.14 ± 1.12) points (T1), (46.05 ± 1.10) points (T2), and (43.93 ± 1.18) points (T3), respectively. GEE analysis indicated that the kinesiophobia scores of elderly patients with hip fractures during the hospital-home transition period increased initially and then decreased over time. Fracture type, per capita monthly family income, medical payment method, and Harris Hip Score were significantly associated with the kinesiophobia levels of elderly patients with hip fractures (P < 0.05). Conclusion The level of anxiety disorder in elderly patients after hip fracture surgery is relatively high, and it is significantly influenced by the type of fracture, medical payment method, and hip joint function. Clinically, phased intervention should be implemented for high-risk individuals to improve the effectiveness of home-based rehabilitation. |
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