Current status and influencing factors of kinesiophobia in elderly patients with chronic obstructive pulmonary disease: A cross-sectional study.

BACKGROUND

Kinesiophobia is an important psychological barrier that prevents chronic obstructive pulmonary disease(COPD) patients from participating in activities, and there is a lack of research on kinesiophobia in elderly COPD patients.

OBJECTIVE

This study aimed to investigate the current situation of kinesiophobia in elderly COPD patients and to analyze its related influencing factors.

METHODS

A cross-sectional survey was conducted on 271 elderly patients with COPD recruited from a tertiary hospital in Guangzhou, China. General information and disease conditions of the patients were collected using questionnaires. Breathlessness Beliefs Questionnaire(BBQ) was used to measure the patients' kinesiophobia. Univariate and multivariate linear regression analyses were employed to analyze further factors associated with kinesiophobia.

RESULTS

The total kinesiophobia score of elderly COPD patients was (37.43±4.61) and the incidence of kinesiophobia was 88.93 %. Multifactorial analysis showed that duration of COPD, anxiety, dyspnoea, fatigue, regularity of exercise, and exercise self-efficacy were the main influencing factors of kinesiophobia in elderly patients with COPD (all P < 0.05).

CONCLUSION

Elderly patients with COPD have higher levels of kinesiophobia, and healthcare professionals should develop targeted interventions that incorporate the appropriate influencing factors to reduce the incidence of kinesiophobia in patients.