Latent profile analysis and influencing factors of kinesiophobia in elderly patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn115682-20240528-03003
- VernacularTitle:老年慢性阻塞性肺疾病患者运动恐惧的潜在剖面分析及影响因素研究
- Author:
Mengxue WANG
1
;
Xiumei ZHANG
;
Jingjing LI
;
Dongdong LI
;
Lu SHEN
Author Information
1. 安徽医科大学护理学院，合肥 230032
- Publication Type:Journal Article
- Keywords:
Aged;
Pulmonary disease, chronic obstructive;
Kinesiophobia;
Latent profile analysis;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(18):2459-2467
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the latent profiles of kinesiophobia in elderly patients with chronic obstructive pulmonary disease (COPD) and explore associated influencing factors.Methods:Elderly COPD patients were selected using a convenience sampling method from the respiratory departments of three Grade A tertiary hospitals in Anhui Province between July 2023 and January 2024. Data were collected using a general demographic questionnaire, the Tampa Scale of Kinesiophobia (TSK), and the Physical Activity Rating Scale (PARS-3). Latent profile analysis was performed using Mplus 8.3, and multinomial Logistic regression was applied to identify influencing factors associated with different latent classes.Results:A total of 348 questionnaires were distributed, and 330 valid responses were obtained, with a valid response rate of 94.83%. The mean TSK score of the 330 patients was (44.53±6.60). Kinesiophobia in elderly COPD patients could be classified into three latent categories: high kinesiophobia-low perceived exercise benefit (25.8%, 85/330), moderate kinesiophobia-low perceived exercise risk (40.9%, 135/330), and low kinesiophobia-high perceived exercise benefit (33.3%, 110/330). Multinomial Logistic regression analysis showed that physical activity level, educational background, body mass index, disease severity, and employment status were the influencing factors of kinesiophobia classification (all P<0.05) . Conclusions:Kinesiophobia in elderly COPD patients presents with distinct classification characteristics. Healthcare providers should develop and implement targeted interventions based on the identified profiles and their influencing factors to help patients reduce their fear of physical activity.
