Postoperative kinesiophobia in patients with acute type A aortic dissection: A cross-sectional study

Abstract

Abstract Objective: There have been no studies on postoperative kinesiophobia in patients with acute type A aortic dissection (AAAD). In this study, we conducted a cross-sectional investigation on the occurrence of postoperative kinesiophobia in patients with AAAD, and discussed the influence of related variables on kinesiophobia. Methods: A total of 312 patients diagnosed with AAAD treated with surgery at Our Center from January 2019 to December 2021 were enrolled. The level of kinesiophobia was assessed using the Cardiac Motor fear Scale (TSK-SV-HEART), and patients with kinesiophobia were classified as patients with TSK > 37. Univariate analysis and multivariate logistic regression analysis were used to determine the influence of related factors on kinesiophobia in AAAD patients. Results:A total of 264 patients were included in this study, and the mean score of postoperative kinesiophobia was 38.15±6.66, with an incidence of 46.2%. Multivariate logistic regression analysis showed that the following variables could reduce the occurrence of kinesiophobia: Education level (OR=11.34, 95%CI: 3.62-35.54), general self-efficacy (OR=0.73, 95%CI: 0.61–0.87), family care index (OR=0.26, 95%CI: 0.15–0.46), facing style (OR=0.66, 95%CI: 0.54–0.81); Two variables increased the level of kinesiophobia: avoidance style (OR=1.73, 95%Cl: 1.40–2.15) and yielding style (OR=2.04, 95%CI: 1.56–2.66) were risk factors for kinesiophobia in patients with acute type A aortic dissection (P < .001). Conclusion:The incidence of postoperative kinesiophobia in patients with AAAD is high, and it is related to various factors. Medical staff must be attentive to the potential occurrence of kinesiophobia during postoperative rehabilitation.