Clinical trial NCT05481671: Influencing Factors and Their Approach of Kinesiophobia in Patients With Traumatic Fractures
Official title: Influencing Factors and Their Approach of Kinesiophobia in Patients With Traumatic Fractures
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Traumatic Fracture
Keywords: Traumatic Fracture
Kinesiophobia
Pain Catastrophizing
Anxiety
Depression
Self-efficacy
Psychological Resilience
Lead sponsor: Sun Yat-sen University
Sponsor class: OTHER
First posted: 2022-08-01
Enrollment: 381
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The patients with traumatic fractures admitted to the Orthopedics Department of the three third-class hospitals in Guangzhou from August 2022 to May 2023.

Brief summary: This study aims to investigate the relationship between kinesiophobia and pain catastrophizing, as well as the relationship between pain catastrophizing and pain level, anxiety and depression, self-efficacy and psychological resilience in patients with traumatic fractures, and to explain the approach and effect relationship between kinesiophobia and these variables.

Detailed description: At present, there are few studies on kinesiophobia in patients with traumatic fractures. This study adopts structural equation model to analyze the current situation of kinesiophobia in patients with traumatic fractures, and explores the effect of pain level, pain catastrophizing, anxiety and depression, self-efficacy and psychological resilience on kinesiophobia in patients with traumatic fractures, which provides a scientific basis for predicting the occurrence of kinesiophobia in patients with traumatic fractures and developing intervention plans.

Eligibility criteria: Inclusion Criteria:

* Patients who were diagnosed as fractures due to accidental trauma and were diagnosed by X-rays and clinicians and required surgical treatment.
* Age 18 and above.

Exclusion Criteria:

* Those with a history of chronic pain (pain persisting or indirectly persisting for more than 3 months).
* Those who have serious postoperative complications (such as deep vein thrombosis, infection, etc.) and need other treatment or transfer to another department.
* People with physical disability or abnormal muscle strength before injury.
* Those who have a history of mental illness or who have taken anti-anxiety, depression drugs, or cognitive impairment within one month.
* Patients undergoing emergency surgery on the day of admission.
* Those who cannot communicate normally due to physical or psychological barriers.

Primary outcomes:
measure: kinesiophobia
timeFrame: baseline
measure: kinesiophobia
timeFrame: 3 days after surgery
measure: functional exercise compliance
timeFrame: 3 days after surgery
Secondary outcomes:
measure: pain degree
timeFrame: baseline
measure: pain degree
timeFrame: 3 days after surgery
measure: pain catastrophization
timeFrame: baseline
measure: pain catastrophization
timeFrame: 3 days after surgery
measure: anxiety and depression
timeFrame: baseline
measure: anxiety and depression
timeFrame: 3 days after surgery
measure: self-efficacy
timeFrame: baseline
measure: self-efficacy
timeFrame: 3 days after surgery
measure: psychological resilience
timeFrame: baseline
measure: psychological resilience
timeFrame: 3 days after surgery
Other outcomes:
Locations:
city: Guangzhou
country: China
facility: XIAW
state: Guangdong
Study officials:
affiliation: Sun Yat-sen University
name: Wei Xia, PhD
role: PRINCIPAL_INVESTIGATOR
References: