脑卒中患者运动恐惧研究的范围综述

doi:10.3761/j.issn.2096-7446.2025.05.021

摘要/Abstract

摘要：

目的对脑卒中患者运动恐惧的研究进行范围综述，梳理运动恐惧的现状、影响因素、测评工具和干预方法等，为促进脑卒中患者积极康复提供参考依据。方法以范围综述方法学为指导，计算机检索中国知网、万方数据库、中国生物医学文献数据库、Web of Science、PubMed、CINAHL、Cochrane Library，检索时限为建库至2024年5月17日，对纳入文献进行筛选、汇总与分析。结果最终纳入15篇文献。脑卒中患者运动恐惧的发生率为24.17%~78.3%，主要应用坦帕运动恐惧评分量表和心脏病运动恐惧量表2种运动恐惧测评工具。脑卒中患者运动恐惧的影响因素包括人口学因素、社会心理因素、身体健康状况和既往史。干预方法包括促动式护理、疼痛神经科学教育、认知行为疗法。结论脑卒中患者运动恐惧研究尚处于发展阶段，其发生率较高，受多重因素影响，还需要加强在脑卒中患者中进行本土化测评工具研究，加大研究样本量，及时识别脑卒中患者运动恐惧并进行干预，未来在家庭和社区、互联网技术层面进行发展和完善。

关键词: 脑卒中, 运动恐惧, 范围综述, 循证护理学

Abstract:

Objective To conduct a scoping review of the research on kinesiophobia in stroke patients，and sort out the status quo，influencing factors，assessment tools and intervention methods of kinesiophobia，so as to provide reference for promoting active rehabilitation of stroke patients. Methods Guided by the scoping review methodology，the databases of CNKI，Wanfang Database，Chinese Biomedical Literature database，web of Science，PubMed，CINAHL and Cochrane Library were searched by computer. The retrial limit was from the establishment of the databases until May 17，2024. The included literature was screened，summarized and analyzed. Results Fifteen literatures were included. The incidence of kinesiophobia in stroke patients ranged from 24.17% to 78.3%. Tampa Scale for Kinesiophobia and the Tampa Scale for Kinesiophobia Heart were used to evaluate kinesiophobia. The influencing factors of kinesiophobia in stroke patients included demographic factors，social psychological factors，physical health factors and disease history. Intervention methods included stimulating care，pain neuroscience education，and cognitive behavioral therapy. Conclusion The research on kinesiophobia in stroke patients is still in the development stage. The incidence of kinesiophobia is high and affected by multiple factors. It is necessary to strengthen the research on localized assessment tools in stroke patients，increase the study sample size，timely identify kinesiophobia in stroke patients and conduct intervention，and develop and improve it at the level of family，community and Internet technology in the future.

Key words: Stroke, Kinesiophobia, Scoping Review, Evidence-Based Nursing

章夏萍, 罗松娜. 脑卒中患者运动恐惧研究的范围综述[J]. 中华急危重症护理杂志, 2025, 6(5): 624-630.

ZHANG Xiaping, LUO Songna. A scoping review of kinesiophobia research in stroke patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 624-630.

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