Longitudinal trajectories of kinesiophobia level in elderly patients with coronary heart disease after coronary artery bypass grafting and decision tree analysis of core influencing factors
ZHAO Caiping
LU Zhen
ZHOU Chunlei
JIANG Wei
YANG Jie
CHEN Qingqing
FAN Xiaoqian
Abstract：Objective To explore longitudinal trajectories of kinesiophobia in elderly patients who underwent coronary artery bypass grafting(CABG)from one week to three months after surgery,and analyze the influencing factors of different kinesiophobia subtypes.Methods A total of 164 elderly patients who underwent CABG surgery were investigated using the Tampa Scale for Kinesiophobia Heart at one week,two weeks,one month and three months after surgery,respectively.Latent growth mixture modeling was used to identify the longitu⁃dinal trajectories of kinesiophobia in elderly patient with CABG.A decision tree model was used to analyze the core factors affecting the sub⁃types of kinesiophobia.Results Two trajectories of kinetophobia were identified according to the rising and decreasing trend of kinetophobia score level in the elderly patients with coronary heart disease at different periods after surgery.The decision tree modeling showed that the im⁃portance of predictive variables was ranked by age,perception of exercise benefits,gender,hypertension,self-perceived burden,postoperative pain and postoperative complications,with the age being the foremost.Conclusion Postoperative kinesiophobia in elderly patients with CABG can be divided into two trajectories:continuous decline and rebound decline,and age is the foremost factor.According to the above factors,we should identify the people who may progress to the rebound dedine of kinesiophobia after surgery.Intervention plans focusing on improving the awareness of the benefits of exercise and the level of self-perceived burden should be constructed to reduce the level of kinesiophobia.
Keywords：coronary heart diseasecoronary artery bypass graftingkinesiophobiathe elderlynursingself-perceived burdenpercep-tion of exercise benefitslongitudinal trajectory
Publication Date：2024-10-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 829-833 )