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September 3, 2024BMC Cardiovascular Disorders18 citationsOpen Access

Kinesiophobia in patients after cardiac surgery: a scoping review

ZZZhi ZengYSYuqi ShenLWLi Wan

Key Result

The incidence of kinesiophobia in patients after cardiac surgery ranged from 39.20% to 82.57%, leading to adverse health outcomes such as reduced recovery and prolonged hospital stays.

Structured PICO

P
Population
3,396 adult patients who underwent cardiac surgery across 18 studies were reviewed to assess the incidence, risk factors, and impacts of postoperative kinesiophobia.
O
Outcome
Incidence, assessment tools, influencing factors, and adverse effects of kinesiophobia in patients after cardiac surgerypatient reported

Kinesiophobia is highly prevalent (39-83%) after cardiac surgery and negatively impacts rehabilitation, highlighting the urgent need for targeted assessment tools and multidisciplinary interventions.

Limitations

  • Most of the included studies were cross-sectional, with only one intervention study and one qualitative study.
  • Lack of specific kinesiophobia tools to assess the psychological states of patients after cardiac surgery.
  • Incidence of kinesiophobia varied greatly, which may be related to the large number of surgical procedures, lack of representativeness of study samples, and lack of pertinence of evaluation tools.
  • Lack of comprehensive, whole-process, and targeted intervention strategies.
  • Most of the included studies were cross-sectional
  • Lack of comprehensive, whole-process, and targeted intervention strategies
  • Lack of representativeness of the study samples
  • Lack of pertinence of evaluation tools

Abstract

BACKGROUND: This paper reviews the scope of research on kinesiophobia in patients after cardiac surgery. Further, it reviews the current situation, evaluation tools, risk factors, adverse effects, and intervention methods of kinesiophobia to provide a reference for promoting early rehabilitation of patients after cardiac surgery. METHODS: Guided by the scoping methodology, the Web of Science, PubMed, CINAHL, Cochrane Library, China Biomedical Literature Database, VIP Database, Wanfang Database, CNKI, and other databases were searched from database inception until July 31, 2024. The studies obtained were screened, summarised and systematically analysed by two researchers. RESULTS: Eighteen studies (16 cross-sectional studies, one qualitative study, and one randomised controlled trial) were included. The incidence of kinesiophobia in patients after cardiac surgery was 39.20-82.57%, and the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) was used to evaluate this incidence. The influencing factors of kinesiophobia in patients after cardiac surgery included demographic characteristics, pain severity, frailty, exercise self-efficacy, disease-related factors, and psychosocial factors. Kinesiophobia led to adverse health outcomes such as reduced recovery, prolonged hospital stays, and decreased quality of life in patients after cardiac surgery, and there were few studies on intervention methods for postoperative kinesiophobia. CONCLUSION: The kinesiophobia assessment tools suitable for patients after cardiac surgery should be improved, and intervention methods to promote the early recovery of patients after major clinical surgery and those with difficult and critical diseases should be actively researched.

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Cite This Study

Zeng et al. (2024) conducted a review in Kinesiophobia after cardiac surgery (n=3,396). Cardiac surgery was evaluated on Incidence of kinesiophobia. The incidence of kinesiophobia in patients after cardiac surgery ranged from 39.20% to 82.57%, leading to adverse health outcomes such as reduced recovery and prolonged hospital stays.

synapsesocial.com/papers/6a3f4977ef8b3439f071a4b4https://doi.org/10.1186/s12872-024-04140-2
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