Abstract:

Objective To investigate the current status of kinesiophobia in liver transplant recipients and to explore its influencing factors. Methods Liver transplant recipients who were hospitalized or followed up at theOrgan Transplantation Center of Jiangsu Province Hospital from January to September 2025 were selected by conveniencesampling. The 13-item Tampa Scale for Kinesiophobia （TSK-13）， Patient Health Questionnaire-9（PHQ-9）， FatigueSeverity Scale （FSS）， Sarcopenia-Five （SARC-F） questionnaire， and Health Literacy Scale for Chronic Patients were used for assessment. Univariate analysis， Pearson correlation analysis， and multiple linear regression analysis were performed to identify factors associated with kinesiophobia. Results The mean score of kinesiophobia among liver transplant recipients was （31.61±6.13）， and 37.6% of them had moderate-to-severe kinesiophobia. Univariate analysis showed that gender and living alone were significantly associated with kinesiophobia levels （P ＜ 0.05）. Pearson correlation analysis revealed that kinesiophobia scores were positively correlated with fatigue， sarcopenia， and depression scores （all P＜0.05）. Multiple linear regression analysis indicated that living alone， fatigue， and depression were independent influencing factorsof kinesiophobia （all P ＜ 0.05）. Conclusion Kinesiophobia is prevalent in postoperative liver transplant recipients，with nearly 40% experiencing moderate-to-severe levels. Living alone， fatigue， and depression are the main independent risk factors. Clinical medical staff should routinely screen for kinesiophobia and related risk factors， and implement comprehensive interventions for high-risk patients to effectively reduce kinesiophobia and improve long-term quality of life. 

Key words:

 , Liver transplantation； , Kinesiophobia； , Influencing factors； , Nursing

摘要：

目的 调查肝移植受者术后运动恐惧的现状并探讨其影响因素。方法 采用便利抽样法，选取 2025 年 1 月至 2025 年 9 月在江苏省人民医院器官移植中心住院或随访的肝移植受者为研究对象。采用恐动症 Tampa 量表（（the Tampa Scale for Kinesiophobia-13，TSK-13）、患者健康问卷抑郁量表（Patient HealthQuestionnaire-9，PHQ-9）、疲劳严重程度量表（Fatigue Severity Scale，FSS）、简易五项肌少症筛查问卷（Sarcopenia-Five，SARC-F）、慢性病健康素养量表进行调查。采用单因素分析、Pearson 相关性分析及多元线性回归分析运动恐惧的影响因素。结果 肝移植受者运动恐惧的得分为（31.61±6.13）分，37.6% 的肝移植受者存在中重度运动恐惧。单因素分析显示，性别、是否独居在运动恐惧水平上差异有统计学意义（P ＜ 0.05）。运动恐惧得分与疲劳、肌少症、抑郁得分均呈正相关（P ＜ 0.05）。多元线性回归分析显示，独居、疲劳、抑郁是肝移植受者运动恐惧的独立影响因素（P ＜ 0.05）。结论 肝移植受者术后普遍存在运动恐惧，其中近四成达中重度水平。独居、疲劳、抑郁是其主要独立危险因素。临床医护人员应常规筛查运动恐惧及相关危险因素， 对高危患者实施综合干预，以有效降低其运动恐惧水平，提升远期生存质量。

关键词:  , 肝移植 ； 运动恐惧 ； 影响因素 ； 护理