关键词: 糖尿病周围神经病变, 运动恐惧, 潜在类别, 影响因素分析, 护理

Abstract:

Objective To explore the development trajectory and root cause of kinesiophobia in patients with diabetic peripheral neuropathy. Methods By the convenience sampling method，240 diabetic peripheral neuropathy patients who were hospitalized in the Department of Endocrinology of a tertiary A hospital in Jiangsu Province from May 2022 to November 2022 were selected. The baseline data of the patients are collected using a general questionnaire，the Tampa Scale for Kinesiophobia，the Chinese version of the Multidimensional Fatigue Inventory-20，the Pittsburgh Sleep Quality Index，the Social Support Rate Scale，and the Numerical Rating Scale for Pain. At the time of discharge，and at 3，6，and 12 months post-discharge，the level of kinesiophobia in the patients is assessed. The growth mixture model was used to classify the trajectory of kinesiophobia and analyze its root causes. Results Ultimately，227 patients in this study completed the survey. The trajectories of kinesiophobia in patients with diabetic peripheral neuropathy were divided into 3 latent classes：persistent high kinesiophobia group（22.5%），moderate kinesiophobia decline group（44.9%） and persistent low kinesiophobia group（32.6%）. The results of multivariate Logistic regression analysis showed that age，frequency of hypoglycemia，complications，sleep quality，fall history within a year，pain and fatigue score were influencing factors of the latent classes of kinesiophobia trajectories in patients with DPN（P<0.05）. Conclusion Within 12 months after discharge，the kinesiophobia of patients with diabetic peripheral neuropathy shows population heterogeneity. Medical staff should give targeted interventions according to the developmental trajectories of kinesiophobia and root cause analysis.

Key words: Diabetic Peripheral Neuropathy, Kinesiophobia, Latent Classes, Root Cause Analysis, Nursing Care