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SHI Cui, XIONG Fei, RUI Biyu. The influencing factors and prediction model construction of postoperative kinesiophobia in elderly patients with hip fractures[J]. Chinese Journal of General Practice, 2025, 23(10): 1689-1693. doi: 10.16766/j.cnki.issn.1674-4152.004206
Citation: SHI Cui, XIONG Fei, RUI Biyu. The influencing factors and prediction model construction of postoperative kinesiophobia in elderly patients with hip fractures[J]. Chinese Journal of General Practice, 2025, 23(10): 1689-1693. doi: 10.16766/j.cnki.issn.1674-4152.004206
shu

The influencing factors and prediction model construction of postoperative kinesiophobia in elderly patients with hip fractures

doi: 10.16766/j.cnki.issn.1674-4152.004206
  • 1.

    Department of Nursing, Shanghai Sixth People ' s Hospital, Shanghai 200233, China

Funds:

 202240142

 hlyjkt-2023-30

  • Received Date: 2025-03-11
    Abstract
  •   Objective  To analyze the influencing factors of kinesiophobia after hip fracture surgery in the elderly and construct a predictive model, providing a theoretical basis for clinical intervention of postoperative kinesiophobia.  Methods  A prospective study was conducted to select 223 elderly patients with hip fractures who underwent surgical treatment at Shanghai Sixth People ' s Hospital from November 2023 to July 2024 as the research subjects. The occurrence of kinesiophobia was evaluated within 2 days after the operation, and patients were divided into the kinesiophobia group and the non-kinesiophobia group. The influencing factors of postoperative phobias in elderly hip fracture patients were analyzed. Based on the obtained influencing factors, a prediction model was constructed.  Results  A total of 219 valid questionnaires were retrieved. Out of 219 patients, 66 developed phobias, with an incidence rate of 30.14%. The results of single factor and multi-factor analysis showed that the primary caregiver (P=0.008), adverse drug reactions to anesthesia (P=0.003), exercise self-efficacy (P=0.010), social high support level (P=0.027), and pain situation (P=0.026) were all influencing factors for postoperative kinesiophobia in elderly hip fracture patients (P < 0.05). Based on various influencing factors, a nomogram prediction model was constructed, and calibration curves and decision curves were plotted. The results showed that the prediction model has good predictive performance for postoperative anxiety in elderly patients with hip fractures.  Conclusion  The occurrence of postoperative fear of movement in elderly patients with hip fractures is related to the care of the primary caregiver, adverse drug reactions to anesthesia, low exercise self-efficacy, low social support, and catastrophic pain. The predictive model constructed based on this has good predictive performance.

     

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