结直肠癌造口患者运动恐惧现状及影响因素分析

doi:10.3761/j.issn.1672-9234.2026.03.016

中华护理教育 ›› 2026, Vol. 23 ›› Issue (3): 357-363.doi: 10.3761/j.issn.1672-9234.2026.03.016

结直肠癌造口患者运动恐惧现状及影响因素分析

周巧学¹(), 朱红玉¹, 辛丽¹, 何红梅¹, 盛孝敏²^,^*()

1.重庆医科大学附属第二医院胃肠外科重庆市 401336
2.重庆医科大学附属第二医院护理部重庆市 401336

收稿日期:2025-12-02 出版日期:2026-03-15 发布日期:2026-03-17
通讯作者: *盛孝敏，E-mail：9075673@qq.com
作者简介:周巧学：女，硕士，主管护师，E-mail：qiaoxuezhou@163.com
基金资助:
重庆医科大学附属第二医院护理骨干科研资助计划项目(HL2023-16)

Current status and influencing factors of kinesiophobia in colorectal cancer patients with enterostomy

ZHOU Qiaoxue¹(), ZHU Hongyu¹, XIN Li¹, HE Hongmei¹, SHENG Xiaomin²^,^*()

1. Department of Gastrointestinal Surgery，the Second Affiliated Hospital of Chongqing Medical University，Chongqing 401336，China
2. Nursing Department，the Second Affiliated Hospital of Chongqing Medical University，Chongqing 401336，China

Received:2025-12-02 Online:2026-03-15 Published:2026-03-17
Contact: *SHENG Xiaomin，E-mail：9075673@qq.com
Supported by:
Nursing Backbone Scientific Research Funding Program of the Second Affiliated Hospital of Chongqing Medical University(HL2023-16)

摘要/Abstract

摘要：

目的调查结直肠癌造口患者运动恐惧现状，并分析其影响因素。方法 2025年3月—8月，便利选取于重庆市3所三级甲等医院胃肠外科住院及肠造口护理门诊就诊的结直肠癌造口患者328例作为调查对象，运用一般资料调查表、恐动症Tampa-11评分表、疼痛数字评分表、癌因性疲乏量表、简易应对方式问卷对其进行调查。结果结直肠癌造口患者运动恐惧得分为（22.03±6.99）分，运动恐惧发生率为49.1%（161/328）。多元线性回归分析结果显示，术前规律锻炼情况、疼痛程度、造口并发症情况、造口自我护理能力水平、癌因性疲乏得分、积极应对得分是结直肠癌造口患者运动恐惧得分的影响因素（P<0.05），共解释其运动恐惧水平55.7%的变异度。结论结直肠癌造口患者运动恐惧发生率高。护理人员可从术前规律锻炼指导、疼痛管理、造口并发症及癌因性疲乏的预防与干预、造口自我护理能力培养及促进积极应对方式形成等方面着手，制订针对性、高效的护理措施，以降低结直肠癌造口患者运动恐惧水平，提高其运动积极性，促进其康复。

关键词: 结直肠癌, 肠造口, 运动恐惧, 造口自我护理能力, 癌因性疲乏

Abstract:

Objective To explore the current status of kinesiophobia in colorectal cancer patients with enterostomy and analyze its influencing factors. Methods From March to August 2025，a total of 328 colorectal cancer patients with enterostomy hospitalized in gastrointestinal surgery departments and attending stoma care clinics in three tertiary Grade A hospitals in Chongqing were selected as the participants. They were assessed using a general information questionnaire，the Tampa Scale for Kinesiophobia-11（TSK-11），the Numerical Rating Scale，the Cancer Fatigue Scale（CFS），and the Simplified Coping Style Questionnaire. Results The score of kinesiophobia in colorectal cancer patients with enterostomy was（22.03±6.99），with an incidence rate of 49.1%（161/328）. Multiple linear regression analysis revealed that preoperative regular exercise，pain intensity，stoma complications，self-care ability of the stoma，cancer-related fatigue scores，and positive coping scores were influencing factors of kinesiophobia（P<0.05），explaining 55.7% of the variance in kinesiophobia levels. Conclusion The incidence of kinesiophobia is high in colorectal cancer patients with enterostomy. Nursing staff can develop targeted and efficient nursing measures by focusing on aspects such as standardized preoperative exercise guidance，pain management，prevention and intervention of stoma complications and cancer-related fatigue，cultivation of stoma self-care ability，and promotion of the development of positive coping styles，to reduce kinesiophobia，enhance patients’ motivation to exercise，and promote recovery.

Key words: Colorectal Cancer, Enterostomy, Kinesiophobia, Self-care Ability of Stoma, Cancer Related Fatigue

周巧学, 朱红玉, 辛丽, 何红梅, 盛孝敏. 结直肠癌造口患者运动恐惧现状及影响因素分析[J]. 中华护理教育, 2026, 23(3): 357-363.

ZHOU Qiaoxue, ZHU Hongyu, XIN Li, HE Hongmei, SHENG Xiaomin. Current status and influencing factors of kinesiophobia in colorectal cancer patients with enterostomy[J]. Chinese Journal of Nursing Education, 2026, 23(3): 357-363.

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参考文献 18

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结直肠癌造口患者运动恐惧现状及影响因素分析

Current status and influencing factors of kinesiophobia in colorectal cancer patients with enterostomy

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