Prevalence of Kinesiophobia and Associated Factors Among Patients After Percutaneous Coronary Intervention: A Multicenter Cross-Sectional Study.
Chunyuan Wang, Xiaoqin Hou, Pian Zhang and 11 others
PMID 42583817WHAT IT FOUND
After PCI, 80.41% had fear of movement by the study cutoff.
Nurses may screen early and prioritise married, retired, low-activity, hypertensive patients with high anxiety or stress.
Key findings
01Kinesiophobia was identified in 780 post-PCI participants (80.41%).
02In the final logistic model, each one-point increase in anxiety raised the odds of kinesiophobia by 21%, and each one-point increase in stress raised the odds by 9%.
03In the final logistic model, each one-point increase in depression lowered the odds of kinesiophobia by 11%, and each one-point increase in exercise self-efficacy lowered the odds by 1%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited by convenience sampling from eight hospitals in Guangdong Province, so the result may not apply to other populations. The study used self-report questionnaires, which can introduce information bias. It was cross-sectional, so it cannot show that any factor caused kinesiophobia. Questionnaires were completed 6 to 48 hours after PCI, and the study did not account for the specific timing of disease. 175 of 1145 returned questionnaires were excluded for more than 30% missing data. The proposed risk-stratified bedside screening strategy was not tested as an intervention.
Declared interests
The study was funded by the Hongmian project of Guangzhou First People's Hospital, grant 2023HL11. The funders had no role in study design, data collection and analysis, decision to publish, or manuscript preparation. The authors declared no conflicts of interest.
The easy way to misread this
Do not assume the proposed bedside screening strategy improves outcomes. This was a single measurement questionnaire study, so the odds ratios show associations, not proof that screening or education changes kinesiophobia or recovery.