Latent classes and influencing factors in the developmental trajectories of kinesiophobia among postoperative rotator cuff injury patients
10.3760/cma.j.cn115682-20250304-01035
- VernacularTitle:肩袖损伤术后患者运动恐惧发展轨迹的潜在类别及影响因素分析
- Author:
Yuchen LI
1
;
Shuang ZHANG
1
;
Xiaojie ZHANG
1
;
Nan LU
1
Author Information
1. 首都医科大学附属北京积水潭医院运动医学科，北京 100035
- Publication Type:Journal Article
- Keywords:
Rotator cuff injury;
Kinesiophobia;
Trajectory;
Latent class growth model;
Arthroscopy;
Nursing
- From:
Chinese Journal of Modern Nursing
2025;31(34):4699-4707
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify latent categories in the developmental trajectories of kinesiophobia among postoperative rotator cuff injury patients and analyze the influencing factors associated with each trajectory.Methods:A convenience sampling method was used to recruit patients who underwent surgery for rotator cuff injury in the Department of Sports Medicine, Beijing Jishuitan Hospital, Capital Medical University from April to October 2024. Data were collected using a general information questionnaire, the Tampa Scale for Kinesiophobia-11, Visual Analogue Scale, General Self-Efficacy Scale, Self-rating Anxiety Scale, and Shoulder Pain and Disability Index. Latent class growth model (LCGM) was employed to identify potential categories of kinesiophobia trajectories, and multinomial Logistic regression analysis was used to explore factors influencing the identified trajectory classes.Results:A total of three latent trajectory classes of kinesiophobia were identified among 372 postoperative rotator cuff injury patients: low-level group (26.88%, 100/372), moderate-level group (42.20%, 157/372), and high-level group (30.91%, 115/372). Multinomial Logistic regression analysis showed that education level, employment status, pain, and anxiety were significant influencing factors for the different kinesiophobia trajectory classes ( P<0.05) . Conclusions:The developmental trajectories of kinesiophobia among postoperative rotator cuff injury patients exhibit population heterogeneity. Nursing staff should provide early, targeted interventions based on patients' kinesiophobia trajectories and influencing factors to reduce kinesiophobia levels.
