运动恐惧症对COPD老年人炼坚持的非线性值影响:细分回归分析
Li Feng1, Hai Yan Ji2, Qing-Qing Yang1
1Department of Nursing, The Sixth People's Hospital of Nantong, Nantong, Jiangsu, China.
Frontiers in public health
|November 28, 2025
概括
运动恐惧症显著影响COPD老年人的炼坚持,在TSK得分为20时确定了关键值. 建议对高风险患者进行早期诊断和干预.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 康复科学 康复科学 康复科学
背景情况:
- 患有慢性阻塞性肺病 (COPD) 的老年人经常表现出不理想的炼坚持.
- 运动恐惧症 (Kinesiophobia),即对运动的恐惧,是这种人群中普遍存在的问题,可能会影响他们从事体育活动的能力.
研究的目的:
- 为了研究运动恐惧症对老年成人患者的炼坚持的值效应.
- 为了确定特定水平的动态恐惧症,显著影响炼坚持.
主要方法:
- 对357名患有COPD的老年人进行了横截面调查.
- 标准化问卷评估了一般信息,运动坚持和动态恐惧症,使用坦帕动态恐惧症量表 (TSK).
- 统计分析,包括多重线性回归和受限制的立方斜线建模,用于确定预测因素和非线性关系.
主要成果:
- 运动恐惧症,频繁住院,严重的GOLD阶段和焦虑症状是较差炼坚持的独立预测因素.
- 在TSK得分为20时,确定了对动态恐惧症的显著值效应.
- 在TSK分数低于20时,动态恐惧症不会显著影响坚持;然而,在这个门以上,随着恐惧的增加,坚持急剧下降.
结论:
- 在患有COPD的老年人中,运动坚持率低于最佳水平,通常与严重的运动恐惧症有关.
- 20的TSK得分作为一个关键值,用于识别患有不良坚持的高风险患者.
- 临床管理应针对TSK分数≥20,频繁恶化和焦虑症患者进行量身定制的干预.
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