老年慢性阻塞性肺疾病患者运动恐惧症现状及影响因素横断面研究

IF 2.6 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2025-07-31 DOI:10.1016/j.hrtlng.2025.07.017

Yaru Wang , Chen Xiong , Xiaoqiao Xie , Guilian He , Xiaofang Zou

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引用次数: 0

摘要

运动恐惧症是阻碍慢性阻塞性肺疾病（COPD）患者参与活动的重要心理障碍，目前对老年COPD患者运动恐惧症的研究尚缺乏。目的了解老年COPD患者运动恐惧症的现状，并分析其相关影响因素。方法对广州某三级医院271例老年COPD患者进行横断面调查。采用问卷调查的方式收集患者的一般情况和疾病情况。采用呼吸困难信念问卷（BBQ）测量患者的运动恐惧症。采用单变量和多变量线性回归分析进一步分析与运动恐惧症相关的因素。结果老年COPD患者运动恐惧症总分为（37.43±4.61）分，运动恐惧症发生率为88.93%。多因素分析显示，COPD病程、焦虑、呼吸困难、疲劳、运动规律、运动自我效能感是老年COPD患者运动恐惧症的主要影响因素(P <；0.05)。结论老年COPD患者运动恐惧症水平较高，医护人员应制定有针对性的干预措施，纳入适当的影响因素，以降低患者运动恐惧症的发生率。

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Current status and influencing factors of kinesiophobia in elderly patients with chronic obstructive pulmonary disease: A cross-sectional study

Background

Kinesiophobia is an important psychological barrier that prevents chronic obstructive pulmonary disease(COPD) patients from participating in activities, and there is a lack of research on kinesiophobia in elderly COPD patients.

Objective

This study aimed to investigate the current situation of kinesiophobia in elderly COPD patients and to analyze its related influencing factors.

Methods

A cross-sectional survey was conducted on 271 elderly patients with COPD recruited from a tertiary hospital in Guangzhou, China. General information and disease conditions of the patients were collected using questionnaires. Breathlessness Beliefs Questionnaire(BBQ) was used to measure the patients' kinesiophobia. Univariate and multivariate linear regression analyses were employed to analyze further factors associated with kinesiophobia.

Results

The total kinesiophobia score of elderly COPD patients was (37.43±4.61) and the incidence of kinesiophobia was 88.93 %. Multifactorial analysis showed that duration of COPD, anxiety, dyspnoea, fatigue, regularity of exercise, and exercise self-efficacy were the main influencing factors of kinesiophobia in elderly patients with COPD (all P < 0.05).

Conclusion

Elderly patients with COPD have higher levels of kinesiophobia, and healthcare professionals should develop targeted interventions that incorporate the appropriate influencing factors to reduce the incidence of kinesiophobia in patients.

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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.