关键词: 孕妇, 腰痛, 骨盆痛, 运动恐惧, 影响因素

Abstract: Objective: To investigate the current status of kinesiophobia in pregnant women with pregnancy-related low back pain and/or pelvic pain (PR-LBPP), and analyze its influencing factors. Methods: The convenience sampling method was used and pregnant women with PR-LBPP who were examined in the obstetrics department from January 2022 to May 2023 were included. The general information questionnaire, Trampa scale for kinesiophobia (TSK), numerical rating scale (NRS), the pregnancy exercise self-efficacy scale(P-ESES) and family adaptation partnership growth affection and resolve index (APGAR) were used to investigate the pregnant women. Pearson correlation was used to analyze the correlation between TSK score and P-ESES and APGAR score. Multiple linear regression was used to analyze the influencing factors of exercisefear level in pregnant women. Results: The TSK score of 171 pregnant women was 37.15±6.91. Multiple linear regression analysis showed that age, primipara, gestational age, work during pregnancy, moderately severe pain, APGAR score and PESES score were the influencing factors of kinesiophobia of pregnant women (P<0.05), which could jointly explain 61.8% of the variation of kinesiophobia level. Conclusion: The level of kinesiophobia in pregnant women with PR-LBPP needs to be reduced, and the level is affected by many factors. Medical staff should pay attention to their exercise fear assessment and take targeted intervention measures as soon as possible to reduce exercise fear and promote physical activity and physical and mental health of pregnant women.

Key words: Pregnant women, Low back pain, Pelvic pain, Kinesiophobia, Influencing factors