ArticleBMJ open2025
Classification of kinesiophobia in patients after cardiac surgery under extracorporeal circulation in China: latent profile and influencing factors analysis from a cross-sectional study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- 24-hour movement behaviors patterns and their influencing factors in patients with coronary heart disease: a latent profile analysis.BMC cardiovascular disorders · 2026Article
- Kinesiophobia and autonomous motivation for cardiac rehabilitation after cardiac surgery: sequential mediation by social support and psychological resilience.Frontiers in psychology · 2026Article
- Latent profile analysis and influencing factors of kinesiophobia among young and middle-aged patients with coronary heart disease.Frontiers in medicine · 2026Article
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7 authors.
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Abstract
objectiveTo investigate the potential classification of kinesiophobia in patients after cardiac surgery under extracorporeal circulation from a psychosocial perspective, and analyse the characteristic differences among different latent levels of patients. STUDY
designThis is a cross-sectional study of Chinese adults after cardiac surgery under extracorporeal circulation, aged 18 years and older, recruited from a tertiary hospital in North China.
methodsThis study uses latent profile analysis to identify potential classifications of kinesiophobia in questionnaires from 348 patients undergoing cardiac surgery under extracorporeal circulation. Multiple logistic regression analysis was used to evaluate the influencing factors at different latent classifications.
resultsThe average performance of each indicator in Model 3 is best suited for analysis, Entropy=0.873 and bootstrap likelihood ratio test (p)＜0.0001. The result of regression equation shows postoperative time (p<0.001), age, self-efficacy, pain and social support level (p<0.05) were the factors influencing the potential profile classification of patients after cardiac surgery under extracorporeal circulation.
conclusionThe study identified three distinct classifications of patients: the low kinesiophobia group, the moderate kinesiophobia-high-risk perceived symptoms group and the high kinesiophobia-high exercise avoidance group (HK-HEAG). Addressing kinesiophobia, especially in older male patients during the early postoperative period, is crucial. Enhancing self-efficacy seems effective in reducing kinesiophobia, while increasing social support may not be as beneficial for the HK-HEAG. These findings provide a basis for implementing preventive interventions in cardiac rehabilitation. TRIAL REGISTRATION NUMBER: The research is registered with the Chinese Clinical Trial Registry (ChiCTR2200057895).
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