Latent profile analysis of dyspnea-related kinesiophobia in older adults with chronic obstructive pulmonary disease

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2024-11-09 DOI:10.1016/j.hrtlng.2024.10.016

Li-chen Peng , Min Xu , Ying Wang , Run-ling Guo , Liang Wang , Xin-xin Wang , Li-ling Xu

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引用次数: 0

Abstract

Background

Dyspnea-related kinesiophobia refers to restrictions or avoidance of activities due to fear of dyspnea and is prevalent among older adults with chronic obstructive pulmonary disease (COPD). Hence, there is a need to identify subgroups of dyspnea-related kinesiophobia among older adults with COPD to support the development of strategies to increase activity levels.

Objective

The purpose of this study was to investigate dyspnea-related kinesiophobia among older adults with COPD, explore heterogeneity in kinesiophobia within subgroups of this population, and analyze the characteristics of different subgroups of kinesiophobia.

Method

This cross-sectional study was conducted from November to December 2023 in Fenyang City, Shanxi Province, China, via face-to-face questionnaire surveys of hospitalized adults with COPD aged over 60 years in four secondary or tertiary hospitals. The Breathlessness Beliefs Questionnaire (BBQ) was used to measure dyspnea-related kinesiophobia. Latent profile analysis was employed to classify the subgroups. CChi-square tests and binary logistic regression were used to examine the effects of sociodemographic factors, marital status, education, income, daily activities, general health, and COPD severity across different profiles.

Results

A total of 384 older adults with COPD (Male N = 228, aged 60–88) were included in the study. Their average BBQ score was (39.15±5.59). Latent profile analysis identified two groups: 230 participants (59.9 %) in the low-level kinesiophobia group (C1) and 154 participants (40.1 %) in the high-level kinesiophobia group (C2). Multivariable stepwise binary logistic regression analysis revealed that older adults with COPD who engaged in exercise less than three days weekly reported an average monthly household income of <3000 CNY, unmarried status (including unmarried, divorced, or widowed), a Charlson Comorbidity Index (CCI) >1, more than three exacerbations within one year or with moderate (GOLD 2 Criteria)-severe (GOLD3) COPD were more likely to be the high-level kinesiophobia group (p < 0.05).

Conclusion

Dyspnea-related kinesiophobia manifests in two groups among older adults. Targeted interventions for different subgroups should be further developed to promote health and reduce nursing burdens.

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对患有慢性阻塞性肺病的老年人进行呼吸困难相关运动恐惧的潜在特征分析。

背景：与呼吸困难相关的运动恐惧是指由于害怕呼吸困难而限制或避免活动，在患有慢性阻塞性肺病（COPD）的老年人中很普遍。因此，有必要在患有慢性阻塞性肺病的老年人中确定与呼吸困难相关的运动恐惧的亚组，以帮助制定提高活动水平的策略：本研究旨在调查患有慢性阻塞性肺病的老年人中与呼吸困难相关的运动恐怖症，探索该人群中运动恐怖症亚群的异质性，并分析不同运动恐怖症亚群的特征：本横断面研究于 2023 年 11 月至 12 月在中国山西省汾阳市进行，通过面对面问卷调查的方式在四家二级或三级医院对 60 岁以上的慢性阻塞性肺病住院患者进行调查。呼吸困难信念问卷（BBQ）用于测量与呼吸困难相关的运动恐惧。采用潜在特征分析对亚组进行分类。采用CChi-square检验和二元逻辑回归来研究社会人口因素、婚姻状况、教育程度、收入、日常活动、总体健康状况和慢性阻塞性肺病严重程度对不同特征的影响：研究共纳入了 384 名患有慢性阻塞性肺病的老年人（男性 228 人，年龄 60-88 岁）。他们的平均 BBQ 得分为（39.15±5.59）分。潜伏特征分析确定了两组：230 名参与者（59.9%）属于低度运动恐惧组（C1），154 名参与者（40.1%）属于高度运动恐惧组（C2）。多变量逐步二元逻辑回归分析表明，每周运动少于三天、家庭月平均收入为1、一年内病情恶化超过三次或患有中度（GOLD 2 标准）-重度（GOLD 3）慢性阻塞性肺疾病的老年人更有可能成为高运动恐惧组（P < 0.05）：结论：与呼吸困难相关的运动恐怖症在老年人中分为两类。结论：与呼吸困难相关的运动恐惧在老年人中有两种表现形式，应进一步开发针对不同亚群的干预措施，以促进健康并减轻护理负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.