PMID- 37114367
OWN - NLM
STAT- MEDLINE
DCOM- 20230719
LR  - 20230720
IS  - 1932-8737 (Electronic)
IS  - 0160-9289 (Print)
IS  - 0160-9289 (Linking)
VI  - 46
IP  - 7
DP  - 2023 Jul
TI  - Influencing factors of kinesiophobia in older patients with chronic heart 
      failure: A structural equation model.
PG  - 729-736
LID - 10.1002/clc.24024 [doi]
AB  - BACKGROUND: Our recent study has demonstrated that kinesiophobia is common in 
      Chinese inpatients with chronic heart failure (CHF). Symptoms of heart failure 
      (HF), coping mode, self-efficacy for exercise (SEE), and social support have been 
      reported to be associated with kinesiophobia. However, little is known about the 
      relationships between these four variables and kinesiophobia in older patients 
      with CHF. OBJECTIVE: To test a model of influencing factors of kinesiophobia in 
      older CHF patients. METHODS: A cross-sectional design was conducted from January 
      2021 to October 2021. The general information questionnaire, 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 
      Social Support Rating Scale were used. Spearman correlation analysis and 
      structural equation model (SEM) were performed for data analysis. RESULTS: A 
      total of 270 older patients with CHF were recruited. Symptom status of HF 
      (r = 0.455, p < .01), avoidance coping mode (r = 0.393, p <.01), and yielding 
      coping mode (r = 0.439, p < .01) were positively correlated with kinesiophobia, 
      while 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. SEM analysis showed that social support could affect kinesiophobia 
      through the mediating variables of symptom status of HF, avoidance coping mode, 
      and exercise self-efficacy. CONCLUSIONS: Symptoms of HF, coping mode, SEE, and 
      social support may play role in kinesiophobia in older CHF patients. We should 
      pay more attention to the synergies among these four variables in the improvement 
      of kinesiophobia.
CI  - (c) 2023 The Authors. Clinical Cardiology published by Wiley Periodicals, LLC.
FAU - Qin, Jingwen
AU  - Qin J
AUID- ORCID: 0000-0002-6288-5268
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
AD  - School of Nursing, Yangzhou University, Yangzhou, Jiangsu, China.
FAU - Xiong, Juanjuan
AU  - Xiong J
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
AD  - School of Nursing, Yangzhou University, Yangzhou, Jiangsu, China.
FAU - Chen, Chen
AU  - Chen C
AD  - Department of Cardiac surgery, Nanjing Drum Hospital, The Affiliated Hospital of 
      Nanjing University Medical School, Nanjing, Jiangsu, China.
FAU - Wang, Xue
AU  - Wang X
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
FAU - Gao, Ya
AU  - Gao Y
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
FAU - Zhou, Yan
AU  - Zhou Y
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
FAU - Zheng, Guixiang
AU  - Zheng G
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
FAU - Gong, Kaizheng
AU  - Gong K
AD  - Department of Cardiology, Affiliated Hospital of Yangzhou University, Yangzhou 
      University, Yangzhou, Jiangsu, China.
LA  - eng
GR  - 81970225/National Natural Science Foundation of China/
GR  - "HuXin" Foundation of Jiangsu Provincial Key Laboratory of Zoonoses/
GR  - JSDW202251/Jiangsu Provincial Medical Key Discipline Cultivation Unit/
PT  - Journal Article
DEP - 20230428
PL  - United States
TA  - Clin Cardiol
JT  - Clinical cardiology
JID - 7903272
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Phobic Disorders/diagnosis
MH  - Fear
MH  - Kinesiophobia
MH  - Cross-Sectional Studies
MH  - Chronic Disease
MH  - Surveys and Questionnaires
MH  - *Heart Failure/diagnosis
PMC - PMC10352966
OTO - NOTNLM
OT  - aged
OT  - chronic heart failure
OT  - fear of movement
OT  - kinesiophobia
OT  - structural equation mode
COIS- The authors declare no conflict of interest.
EDAT- 2023/04/28 06:42
MHDA- 2023/07/19 06:42
PMCR- 2023/04/28
CRDT- 2023/04/28 03:23
PHST- 2023/01/02 00:00 [revised]
PHST- 2022/09/16 00:00 [received]
PHST- 2023/04/05 00:00 [accepted]
PHST- 2023/07/19 06:42 [medline]
PHST- 2023/04/28 06:42 [pubmed]
PHST- 2023/04/28 03:23 [entrez]
PHST- 2023/04/28 00:00 [pmc-release]
AID - CLC24024 [pii]
AID - 10.1002/clc.24024 [doi]
PST - ppublish
SO  - Clin Cardiol. 2023 Jul;46(7):729-736. doi: 10.1002/clc.24024. Epub 2023 Apr 28.