Current status and influencing factors of kinesiophobia in patients with peritoneal dialysis: a multicenter cross-sectional study

• Published in: BMC nephrology Vol. 25; no. 1; pp. 404 - 9
• Main Authors: Xie, Min, Yin, Ling, Guo, Yueyue, Zhang, Xuan, Zhao, Ruqin
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 11.11.2024; BioMed Central; BMC
• Subjects: Abdomen; Adaptation, Psychological; Adult; Aged; Avoidance behavior; China - epidemiology; Chronic kidney failure; Continuous ambulatory peritoneal dialysis; Coping; Coping style; Correlation analysis; Cross-Sectional Studies; Family income; Fatigue; Fatigue - epidemiology; Fatigue - etiology; Fatigue - psychology; Fear - psychology; Female; Health aspects; Hemodialysis; Humans; Influencing factors; Kidney diseases; Kinesiophobia; Likert scale; Male; Marital status; Middle Aged; Nephrology; Normal distribution; Pain; Patient outcomes; Patients; Peritoneal dialysis; Peritoneal Dialysis - adverse effects; Peritoneal Dialysis - psychology; Peritoneum; Phobic Disorders - epidemiology; Phobic Disorders - etiology; Phobic Disorders - psychology; Physiological aspects; Prevalence; Prevention; Psychological aspects; Quality of Life; Questionnaires; Rehabilitation; Risk Factors; Risk groups; Surveys and Questionnaires; China; Kinesiophobia; Fatigue; Coping style; Influencing factors; Peritoneal dialysis
• ISSN: 1471-2369; 1471-2369
• DOI: 10.1186/s12882-024-03851-0

Kinesiophobia, an irrational fear-avoidance behaviour, can significantly impact the quality of life and prognosis of peritoneal dialysis patients. This study aimed to assess the prevalence of kinesiophobia in patients undergoing peritoneal dialysis and to analyse its influencing factors. A total of 291 patients who visited the outpatient and ward of peritoneal dialysis in 7 tertiary hospitals in Jiangsu Province from December 2023 to March 2024 were selected as research subjects via the convenience sampling method. A cross-sectional survey was conducted using a general data questionnaire, the Tampa Kinesiophobia-11 Scale, the Chinese Version of the Multidimensional Fatigue Symptom Scale, and the Simplified Coping Style Questionnaire. The score obtained using the Tampa Scale for kinesiophobia in patients with peritoneal dialysis was 22.44 ± 7.46, with a prevalence rate of 69.1%. Binary logistic regression analysis revealed that no complications, daily exercise before illness, and positive coping styles were protective factors (p < 0.05), whereas fatigue and negative coping styles were risk factors for kinesiophobia in patients receiving peritoneal dialysis (p < 0.05). The prevalence of kinesiophobia in patients receiving peritoneal dialysis was high but at a mild level. Medical staff should combine influencing factors to identify high-risk groups as early as possible, formulate targeted interventions to reduce the occurrence of kinesiophobia and mitigate adverse effects on peritoneal dialysis patients.