Factors related to fear of movement after acute cardiac hospitalization

Abstract

Background Fear of movement (kinesiophobia) after an acute cardiac hospitalization (ACH) is associated with reduced physical activity (PA) and non-adherence to cardiac rehabilitation (CR). Purpose To investigate which factors are related to kinesiophobia after an ACH, and to investigate the support needs of patients in relation to PA and the uptake of CR. Methods Patients were included 2–3 weeks after hospital discharge for ACH. The level of kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK-NL Heart). A score of > 28 points is defined as ‘high levels of kinesiophobia’ (HighKin) and ≤ 28 as ‘low levels of kinesiophobia’ (LowKin). Patients were invited to participate in a semi-structured interview with the fear avoidance model (FAM) as theoretical framework. Interviews continued until data-saturation was reached. All interviews were analyzed with an inductive content analysis. Results Data-saturation was reached after 16 participants (median age 65) were included in this study after an ACH. HighKin were diagnosed in seven patients. HighKin were related to: (1) disrupted healthcare process, (2) negative beliefs and attitudes concerning PA. LowKin were related to: (1) understanding the necessity of PA, (2) experiencing social support. Patients formulated ‘tailored information and support from a health care provider’ as most important need after hospital discharge. Conclusion This study adds to the knowledge of factors related to kinesiophobia and its influence on PA and the uptake of CR. These findings should be further validated in future studies and can be used to develop early interventions to prevent or treat kinesiophobia and stimulate the uptake of CR.

Mediating effect of kinesiophobia between self-efficacy and physical activity levels in post-CABG patients: protocol for a prospective, multicentre, cross-sectional study in China

“…Kinesiophobia arises from negative emotions such as worry and anxiety, and may lead to overprotective avoidance of rehabilitation exercises 48. Vigorous physical activities may lead to angina pectoris,49 whereas patients are often forced to stop any movement during heart attack. In addition, incorrect perceptions or advice from healthcare professionals about PA may exert a negative impact on patients 50.…”

Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation: Intervention Mapping Study

“…Patients report a lack of (consistent) information after hospital discharge and that information needs were not always correctly perceived by health care providers [ 17 - 19 ]. The highest priority of information needs comprised information about medication and side effects, wound care, postoperative pain, physical activity, and dealing with emotions [ 20 - 28 ].…”

Does kinesiophobia limit physical activity and quality of life in asthmatic patients?

“…As kinesiophobia increases the tendency to not take sufficient physical activity, it is seen as an obstacle not only in the treatment of musculoskeletal diseases but also in the exercise-based treatment of cardiorespiratory diseases [24,25]. Fear of movement prevents participation in exercise in many cardiorespiratory system pathologies such as coronary artery disease, myocardial infarction, heart failure, and COPD [12,[25][26][27]. Participation in physical activity and quality of life may be low in coronary artery patients who are known to have high kinesiophobia [28], and it has been suggested that kinesiophobia is more likely to occur in patients with heart-related problems [29].…”