The mediating effect of frailty between stress perception and kinesiophobia in elderly patients with temporary cardiac pacemaker implantation
10.3760/cma.j.cn371468-20241005-00461
- VernacularTitle:衰弱在老年临时心脏起搏器植入患者压力感知与运动恐惧间的中介效应
- Author:
Jingshuang BAI
1
;
Libai CAI
;
Qian CHEN
;
Sisi CHEN
;
Leiming WU
;
Huifang HUANG
;
Huicong JI
Author Information
1. 郑州大学第一附属医院心血管内科，郑州 450052
- Publication Type:Journal Article
- Keywords:
Frailty;
Stress perception;
Kinesiophobia;
Temporary cardiac pacing;
Rehabilitation care;
Elderly people
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(7):599-605
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of frailty between stress perception and kinesiophobia in elderly patients after temporary cardiac pacemaker implantation.Methods:A total of 129 elderly patients who underwent temporary cardiac pacemaker implantation surgery in the Department of Cardiovascular Medicine of the First Affiliated Hospital of Zhengzhou University from February 2023 to April 2024 were selected by convenience sampling method, and were surveyed by the general information questionnaire, the exercise fear scale, the perceived stress scale and the Chinese Tilburg frailty scale.The t test, one-way ANOVA and non parametric test were used to analyze the data by SPSS 29.0 software.The macro program PROCESS was used to construct and test the mediation model. Results:The total score of kinesiophobia was (41.08±2.77), the total score of stress perception was (36.22±3.07), and the total score of frailty was (11.19±1.53) in elderly patients after temporary cardiac pacemaker implantation. The total score of kinesiophobia was positively correlated with the total score of stress perception ( r=0.383, P<0.01), the total score of kinesiophobia was positively correlated with the total score of frailty ( r=0.451, P<0.01), and the total score of stress perception was positively correlated with the total score of frailty ( r=0.289, P<0.01).The total effect of stress perception on motor fear was 0.359 ( P<0.01) and the direct effect was 0.226 ( P<0.01).Frailty played a partial mediating role between stress perception and kinesiophbia in elderly patients after temporary pacemaker implantation, with an indirect effect of 0.133 (95% CI=0.062-0.243), accounting for 37.05% of the total effect. Conclusion:Stress perception not only directly affects kinesiophobia in elderly patients with temporary cardiac pacemaker implantation, but also indirectly affects kinesiophobia through frailty.
