Article Impact Level: HIGH Data Quality: STRONG Summary of Clinical Cardiology, clc.24024. https://doi.org/10.1002/clc.24024 Dr. Jingwen Qin et al.
Points
- Kinesiophobia is common in Chinese inpatients with chronic heart failure (CHF), and symptoms of HF, coping mode, SEE, and social support are associated with kinesiophobia.
- Little is known about the relationships between these four variables and kinesiophobia in older patients with CHF.
- The study recruited 270 older patients with CHF and found that symptom status of HF, avoidance and yielding coping modes, and SEE was positively correlated with kinesiophobia while facing coping mode and social support were negatively correlated with kinesiophobia.
- Social support can indirectly impact kinesiophobia by influencing the mediating variables of symptom status of HF, avoidance coping mode, and exercise self-efficacy.
- Healthcare providers should pay more attention to the synergies among these four variables in improving kinesiophobia in older CHF patients.
Summary
The study recruited 270 older patients with CHF and used a cross-sectional design to collect data from January 2021 to October 2021. The Chinese version of the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart-C), Symptom Status Questionnaire-Heart Failure, SEE, the Medical Coping Modes Questionnaire, and the Social Support Rating Scale was used to collect data.
The Spearman correlation analysis showed that the symptom status of HF had a significant positive correlation with kinesiophobia (r = 0.455, p < .01). Avoidance coping mode (r = 0.393, p < .01) and yielding coping mode (r = 0.439, p < .01) were also positively correlated with kinesiophobia. In contrast, SEE (r = −0.530, p < .01), facing coping mode (r = −0.479, p < .01), and social support (r = −0.464, p < .01) were negatively correlated with kinesiophobia.
Moreover, the structural equation model (SEM) analysis revealed that social support could affect kinesiophobia through the mediating variables of symptom status of HF, avoidance coping mode, and exercise self-efficacy. This suggests that social support may indirectly impact kinesiophobia by influencing these factors.
In summary, the study’s findings demonstrate that symptoms of HF, coping mode, SEE, and social support are important factors related to kinesiophobia in older CHF patients. These results suggest that healthcare providers should consider the influence of these factors when developing interventions to manage kinesiophobia in this patient population.
Link to the article: https://onlinelibrary.wiley.com/doi/full/10.1002/clc.24024
References Qin, J., Xiong, J., Chen, C., Wang, X., Gao, Y., Zhou, Y., Zheng, G., & Gong, K. (2023). Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model. Clinical Cardiology, clc.24024. https://doi.org/10.1002/clc.24024
