Current status and influencing factors of post-operative kinesiophobia in patients with pelvic floor dysfunction

CHEN Qin; HUANG Longxian

doi:10.3969/j.issn.1006-9771.2026.02.009

Abstract：Objective To investigate the current status of kinesiophobia in patients with pelvic floor dysfunction(PFD)after pelvic floor reconstruction and analyze its influencing factors.Methods From November,2024 to February,2025,a total of 161 postoperative patients who underwent pelvic floor re-construction for PFD in the First Affiliated Hospital of Chongqing Medical University and Women and Children's Hospital of Chongqing Medical University were selected.A questionnaire survey was conducted using the conve-nience sampling method.The questionnaires included a general information survey,disease and surgery-related information,postoperative-related information,Tampa Scale for Kinesiophobia-11(TSK-11)and General Self-Ef-ficacy Scale(GSES),and the influencing factors of kinesiophobia related to early postoperative ambulation were analyzed.Results The TSK-11 score was(29.88±3.07),in which 136 cases exhibited clinically significant fear of movement.Lo-gistic regression showed that each 1-point increase in pain score at 24 hours postoperatively(OR=1.622,95%CI 1.140 to 2.308,P=0.007),disease course of more than three years(OR=3.813,95%CI 1.090 to 13.340,P=0.036),and transvaginal surgery(OR=3.745,95%CI 1.236 to 11.347,P=0.020)were independent risk factors for postoperative kinesiophobia.In contrast,receiving guidance on early ambulation after surgery(OR=0.283,95%CI 0.087 to 0.923,P=0.036)and a high GSES score(OR=0.924,95%CI 0.868 to 0.984,P=0.014)were protective factors.Conclusion Incidence of kinesiophobia is high in patients with PFD after surgery.Postoperative pain,disease course,transvaginal surgery,receiving guidance on early ambulation after surgery,and self-efficacy were all associated with the occurrence of kinesiophobia.