Mediating effect of kinesiophobia on illness perception and exercise self-efficacy in patients with chronic heart failure
10.3760/cma.j.cn115682-20231117-02116
- VernacularTitle:运动恐惧在慢性心力衰竭患者疾病感知与运动自我效能间的中介效应分析
- Author:
Yuying CAO
1
;
Yanyan WEI
;
Ping LIU
Author Information
1. 济宁医学院附属医院影像科，济宁 272029
- Keywords:
Chronic heart failure;
Kinesiophobia;
Illness perception;
Exercise self-efficacy;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2024;30(15):2015-2020
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of kinesiophobia on illness perception and exercise self-efficacy in patients with chronic heart failure (CHF) .Methods:From January to August 2023, convenience sampling was used to select CHF patients in the Department of Cardiovascular of Affiliated Hospital of Jining Medical University as the research subject. The patients were surveyed using the General Information Questionnaire, Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) , Exercise Self Efficacy Scale, and the Brief Illness Perception Questionnaire (BIPQ) . Bootstrap method was used to examine the mediating effect of kinesiophobia on illness perception and exercise self-efficacy in CHF patients.Results:A total of 220 questionnaires were distributed, and 207 valid questionnaires were collected, with a valid response rate of 94.09% (207/220) . Among 207 CHF patients, the total TSK-SV Heart score, total Exercise Self Efficacy Scale score, and total BIPQ score were (43.36±10.50) , (37.00±15.84) , and (52.77±15.76) , respectively. Kinesiophobia partially mediated the relationship between illness perception and exercise self-efficacy in CHF patients, and the effect value was -0.251 ( P<0.01) , accounting for 42.76% of the total effect. Conclusions:Illness perception can directly affect the exercise self-efficacy of CHF patients, as well as indirectly affect their exercise self-efficacy through kinesiophobia. Medical and nursing staff should fully understand the patient's views on the disease, help patients have a correct understanding of the disease, and take certain intervention measures to help patients overcome their kinesiophobia, thereby improving their exercise self-efficacy.
