Analysis of latent classes and influencing factors of kinesiophobia trajectories in initial hemodialysis patients
10.3760/cma.j.cn115682-20240713-03909
- VernacularTitle:初始血液透析患者运动恐惧轨迹的潜在类别及影响因素分析
- Author:
Dongqing CAI
1
;
Lu DAI
;
Guiqin WAN
;
Jing REN
;
Qianqian YANG
Author Information
1. 南京医科大学附属淮安第一医院血液净化中心，淮安 223399
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Kinesiophobia;
Latent class;
Influencing factor;
Nursing
- From:
Chinese Journal of Modern Nursing
2025;31(11):1464-1471
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the trajectories of kinesiophobia in initial hemodialysis patients and their influencing factors.Methods:A convenience sampling method was used to recruit patients undergoing their first hemodialysis treatment at Hemodialysis Center, the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University from June to December 2023. Baseline data were collected using a general information questionnaire, the Tampa Scale for Kinesiophobia (TSK), the Dialysis Patient Symptom Burden Index (DFSSBI), the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Multidimensional Fatigue Inventory (MFI-20), and the Pittsburgh Sleep Quality Index (PSQI). The TSK was used to measure kinesiophobia levels at 1, 3, and 6 months post-dialysis. Data were analyzed using a latent class growth mixture model, univariate analysis, and multinomial Logistic regression.Results:A total of 251 patients were surveyed, and 239 completed follow-ups. Three latent classes of kinesiophobia trajectories were identified: persistently high kinesiophobia group (32.22%, 77/239), moderate kinesiophobia-declining group (28.45%, 68/239), and persistently low kinesiophobia group (39.33%, 94/239). Multinomial Logistic regression analysis indicated that age, marital status, presence of sleep disorders, history of falls in the past year, symptom burden, fear of disease progression, and fatigue significantly influenced kinesiophobia trajectory classes ( P<0.05) . Conclusions:Kinesiophobia in initial hemodialysis patients exhibits distinct trajectories. Healthcare professionals should implement targeted interventions based on the influencing factors of kinesiophobia trajectory development.
