Latent profile analysis of exercise fear in patients with chronic heart failure and analysis of influencing factors
10.3760/cma.j.cn211501-20240220-00369
- VernacularTitle:慢性心力衰竭患者运动恐惧潜在剖面分析及影响因素研究
- Author:
Hui WANG
1
;
Rui HAI
;
Rong ZHANG
;
Yaping XU
;
Yi YANG
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830000
- Keywords:
Heart failure;
Kinesiophobia;
Family support;
Latent profile analysis;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2024;40(23):1816-1824
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of exercise fear in patients with chronic heart failure (CHF) and explore the different potential classifications and influencing factors of exercise fear, in order to provide theoretical basis for formulating targeted interventions.Methods:The subjects of this study were 278 patients with CHF treated in the Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University from July 2023 to November 2023 using convenience sampling method. A questionnaire survey was conducted using a general information questionnaire, Fear of Activity in Patients with Chronic Heart Failure, Cardiac Exercise Self-Efficacy Instrument, Personal Support Scale From Family, and Multidimensional Fatigue Index-20. Latent profile analysis to identify potential subtypes of motor fear in patients, and unordered multiple logistic regression to evaluate the influencing factors of different subtypes were used.Results:Totally 278 valid questionnaires were collected, including 96 females and 182 males, with a majority aged between 60 and 74 years old, with 114 cases accounting for 41.0%. The 278 CHF patients had a fear of movement score of (34.78 ± 13.17) points were divided into three potential categories based on their fear of movement: low-level fear of movement group (107 cases, 38.5%), moderate fear of movement group (108 cases, 38.8%), and high-level fear of movement group (63 cases, 22.7%). Disordered multiple logistic regression analysis showed that family support level ( OR = 2.520), exercise self-efficacy ( OR = 0.913), and fatigue ( OR = 1.065) were significant influencing factors for high-level exercise fear in CHF patients (all P<0.05), while age, education level, disease course, number of coexisting diseases, family support level, exercise self-efficacy, and fatigue were significant influencing factors for high-level exercise fear in CHF patients ( OR values ranged from 0.007 to 6.292, all P<0.05). Conclusions:There are three potential categories of exercise fear in patients with CHF. Medical staff should develop targeted intervention plans based on the characteristics of different categories of patients to reduce their level of exercise fear.
