Key result
Postoperative time (p<0.001), age, self-efficacy, pain, and social support (p<0.05) were identified as significant factors influencing the latent profile classification of kinesiophobia.
Why the study?
The study was conducted to investigate the potential classification of kinesiophobia from a psychosocial perspective in patients after cardiac surgery under extracorporeal circulation, and to analyse characteristic differences across latent levels.
What are the latent classifications of kinesiophobia and their influencing factors in patients after cardiac surgery under extracorporeal circulation?
Cross-Sectional (n=348)
No
What are the latent classifications of kinesiophobia and their influencing factors in patients after cardiac surgery under extracorporeal circulation?
p-value: p=<0.001
Identifies three latent profiles of kinesiophobia in post-cardiac surgery patients and highlights self-efficacy, pain, and social support as key influencing factors to target in cardiac rehabilitation.
May inform targeted kinesiophobia screening in postoperative patients; leaves open causality and practice change pending longitudinal validation.
OBJECTIVE: To 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 DESIGN: This 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. METHODS: This 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. RESULTS: The 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. CONCLUSION: The 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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Xing et al. (2025) conducted a cross-sectional in Patients after cardiac surgery under extracorporeal circulation (n=348). Postoperative time, age, self-efficacy, pain, and social support was evaluated on Potential classifications of kinesiophobia (p=<0.001). Postoperative time (p<0.001), age, self-efficacy, pain, and social support (p<0.05) were identified as significant factors influencing the latent profile classification of kinesiophobia.
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