Identifying patterns of kinesiophobia trajectories among COPD patients: A longitudinal study.
Facun Liang, Mengru Liu, Hui Han and 5 others
PMID 36867560WHAT IT FOUND
Fear of movement fell over six months in COPD patients, but 25.2% were in a high-fear group.
Older age, female sex, low education, longer disease, severe pain, fatigue or breathlessness marked the high-fear group.
Key findings
01Kinesiophobia scores decreased from 46.54 ± 6.28 at discharge to 35.24 ± 7.36 six months after discharge.
02The high kinesiophobia trajectory group contained 53 patients (25.2%) and showed a slow, insignificant decline.
03Compared with the high-fear group, the low-fear group was more likely to be male, aged under 60 or 60 to 75, have disease duration under 3 years, mild or moderate pain, pulmonary function grade I, and BMI 18.5 to 23.9, while primary school education or below, higher fatigue, and higher breathlessness were associated with the high-fear group.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for RNs
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What it does not show
This was a single-centre study at one Grade 3A hospital in Huzhou, China, so the patterns may not apply elsewhere. Patients were assessed only at discharge, 1 month, 4 months, and 6 months, so longer-term changes were not captured. Pulmonary function was not tested, although it was included as a classification, and sleep quality and mobility aids were not analysed. The study observed patients over time and did not compare a specific rehabilitation or nursing intervention, so it cannot show what caused fear to change. The paper states that 10 patients withdrew but also that all participants completed and submitted questionnaires after reminder calls, so follow-up reporting is unclear. The paper gives inconsistent data collection dates, saying January to May 2022 in one place and October to May 2022 in another.
Declared interests
This study was supported by a public welfare research project in Huzhou, Zhejiang, China. The authors report no conflicts of interest.
The easy way to misread this
Do not read the lower scores over six months as proof that pulmonary rehabilitation or nursing care reduced kinesiophobia. This was a longitudinal observational study, not a randomised trial of pulmonary rehabilitation or nursing care, so it cannot show what caused the decline.