{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:02:31Z","timestamp":1777618951280,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine differences in kinesiophobia levels among <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> patients at different time points 6\u00a0months after discharge\uff1bTo identify potential subgroups of <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> patients who perceived different levels of kinesiophobia over time\uff1band to evaluate differences in identified subgroups based on demographic and disease\u2010related characteristics<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An observational longitudinal study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>OPD patients hospitalized in respiratory department of a grade A hospital in Huzhou city from October 2021 to May 2022 were selected as the research objects. TSK scale was used to evaluate the level of kinesiophobia at discharge (T1), 1\u00a0month after discharge (T2), 4\u00a0months after discharge (T3) and 6\u00a0months after discharge (T4). The kinesiophobia level scores at different time points were compared using latent class growth modelling. ANOVA and Fisher's exact tests were used to test differences in demographic characteristics\uff0cand univariate analysis and multinomial logistic regression analysis were used to explore the influencing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the first 6\u00a0months after discharge, kinesiophobia levels decreased significantly in the entire sample of COPD patients. The best\u2010fitting group\u2010based trajectory model described three distinctive trajectories: Low kinesiophobia group (31.4% of sample); Medium kinesiophobia group (43.4% of sample)\uff1band High kinesiophobia group (25.2% of sample). Logistic regression results showed that sex, age, course of disease, pulmonary function, education level, BMI, the level of pain, MCFS and mMRC were influencing factors of kinesiophobia trajectory in COPD patients (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.1650","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T17:45:12Z","timestamp":1677865512000},"page":"3925-3935","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Identifying patterns of kinesiophobia trajectories among COPD patients: A longitudinal study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2417-8140","authenticated-orcid":false,"given":"Facun","family":"Liang","sequence":"first","affiliation":[{"name":"School of Nursing Huzhou University  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1554-373X","authenticated-orcid":false,"given":"Mengru","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing Huzhou University  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Han","sequence":"additional","affiliation":[{"name":"Respiratory Department The First People's Hospital of Huzhou  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunxin","family":"Ru","sequence":"additional","affiliation":[{"name":"School of Nursing Huzhou University  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanru","family":"Yin","sequence":"additional","affiliation":[{"name":"School of Nursing Huzhou University  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Cheng","sequence":"additional","affiliation":[{"name":"School of Nursing Huzhou University  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Xue","sequence":"additional","affiliation":[{"name":"School of Nursing Huzhou University  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lifang","family":"Gu","sequence":"additional","affiliation":[{"name":"Respiratory Department The First People's Hospital of Huzhou  Huzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010020\u201005518\u20101"},{"issue":"5","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1378\/chest.14-2690","article-title":"Pain and its clinical associations in individuals with COPD","volume":"147","author":"All A.","year":"2015","journal-title":"Chest: The Journal of Circulation Respiration and Related Systems"},{"issue":"2","key":"e_1_2_13_4_1","first-page":"4","article-title":"Diagnostic and statistical manual of mental disorders","volume":"25","author":"American P.","year":"1994","journal-title":"Encyclopedia of the Neurological Sciences"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254262"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa159"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.04.028"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518768393"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2021.06.010"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm\u201021\u2010812"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000004066"},{"key":"e_1_2_13_12_1","unstructured":"Hu W.(2012).Cultural adaptation of the simplified Chinese TSK and FABQ scales and its application in degenerative waist and leg pain. 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