To explore the latent class characteristics of fear of movement in patients after open-heart surgery,and to analyze its influencing factors.
Using a convenience sampling method, a total of 305 hospitalized patients after open-heart surgery were selected from the cardiac surgery departments of seven tertiary grade-A hospitals from March to May 2025. The patients were surveyed using the General Information Questionnaire, the Tampa Scale for Kinesiophobia for Heart Patients (TSK-SV Heart), the Brief Illness Perception Questionnaire(BIPQ), the Hospital Anxiety and Depression Scale(HADS), the Cardiac Exercise Self-Efficacy Instrument (CESEI), and the Perceived Social Support Scale(PSSS).Latent profile analysis(LPA) was employed to identify the class characteristics of fear of movement in patients after open-heart surgery.
Three latent profiles of fear of movement were identified among patients after open-heart surgery: subclinical fear of movement-unstable group, mild fear of movement-stable group, and moderate fear of movement group. Logistic regression analysis showed that patients' anxiety,depression,illness perception, cardiac rehabilitation exercise self-efficacy, average monthly family income, and exercise habits were influencing factors for their latent profiles of fear of movement(all P<0.05).
Fear of movement in patients after open-heart surgery shows population heterogeneity. Healthcare providers should develop precise intervention strategies based on the influencing factors of different profile groups to reduce patients' level of fear of movement.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |