Current status and influencing factors of dyspnea belief-associated kinesiophobia in patients with rib fractures
10.3760/cma.j.cn115682-20250409-01825
- VernacularTitle:肋骨骨折患者呼吸困难相关运动恐惧现况调查及影响因素分析
- Author:
Wenyi ZHU
1
;
Chunquan LIU
1
;
Yinghui LU
1
Author Information
1. 首都医科大学附属北京友谊医院胸心血管外科，北京 101125
- Publication Type:Journal Article
- Keywords:
Rib fractures;
Dyspnea belief;
Kinesiophobia;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(35):4822-4827
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the kinesiophobia-associated with dyspnea belief in patients with rib fractures and analyze its influencing factors.Methods:Convenience sampling was used to select 385 patients with rib fractures treated at Beijing Friendship Hospital, Capital Medical University, from January 2023 to December 2024 as study subjects. All patients were enrolled on day 5 after treatment, and the Breathlessness Beliefs Questionnaire (BBQ) was used to assess the dyspnea belief-associated kinesiophobia. Patients were divided into a negative group (BBQ score≤23) and a positive group (BBQ score≥24) for kinesiophobia. Logistic regression analysis was employed to investigate the factors influencing dyspnea belief-associated kinesiophobia.Results:The BBQ score for 385 patients was (29.47±7.33). A total of 218 patients experienced dyspnea belief-associated kinesiophobia, with an incidence of 56.62%. Patients in negative group and positive group for kinesiophobia showed statistically significant differences in gender, educational attainment, fracture time, fracture location, number of fractured ribs, presence of concomitant hemothorax/pneumothorax, pain, perceived burden, and post-traumatic stress disorder ( P<0.05). Logistic regression analysis showed that fracture time ( OR=0.640), fracture location ( OR=3.195), presence of concomitant hemothorax/pneumothorax ( OR=2.025), pain ( OR=2.498), self-perceived burden ( OR=1.202), and post-traumatic stress disorder ( OR=1.091) were the influencing factors of dyspnea belief-associated kinesiophobia ( P<0.05) . Conclusions:Patients with rib fractures exhibit high levels and incidence of dyspnea belief-associated kinesiophobia. Targeted management should be carried out for rib fracture patients with early-stage fractures, bilateral fractures, combined pneumothorax and pain, high levels of self-perceived burden and post-traumatic stress disorder.
