{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:39:44Z","timestamp":1792802384717,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To investigate the prevalence and associated factors of kinesiophobia after percutaneous coronary intervention (PCI).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A multicenter cross\u2010sectional study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We collected data of post\u2010PCI patients who were recruited via convenience sampling from cardiology departments of eight tertiary hospitals between 1 November 2022 and 31 December 2023. Kinesiophobia was assessed by the Tampa Scale for Kinesiophobia Heart (TSK\u2010SV Heart). Exercise self\u2010efficacy, depression, anxiety, stress, and social support were evaluated by validated instruments. Participants' demographic and objective socioeconomic factors were also collected. Binary logistic regression analysis was conducted to identify the associated factors of kinesiophobia.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 1145 recruited patients, 970 (84.72%) provided complete data and were included in the final analysis, of which 780 (80.41%) exhibited kinesiophobia. Factors significantly associated with kinesiophobia in the binary logistic regression analysis included: single status (vs. married: OR\u2009=\u20090.42, 95% CI: 0.22\u20130.79,\n p<\/jats:italic>\n \u2009=\u20090.008), retired (vs. freelancers: OR\u2009=\u20091.89, 95% CI: 1.22\u20132.93,\n p<\/jats:italic>\n \u2009=\u20090.004), had beyond 3 children (vs. 1 child: OR\u2009=\u20090.68, 95% CI: 0.46\u20130.99,\n p<\/jats:italic>\n \u2009=\u20090.045), generally familiar with illness (vs. not familiar: OR\u2009=\u20092.00, 95% CI: 1.37\u20132.93,\n p<\/jats:italic>\n \u2009<\u20090.001), comorbid hypertension (vs. no hypertension: OR\u2009=\u20091.49, 95% CI: 1.05\u20132.13,\n p<\/jats:italic>\n \u2009=\u20090.028), participated in cardiac rehabilitation (vs. did not participate: OR\u2009=\u20091.52, 95% CI: 1.06\u20132.19,\n p<\/jats:italic>\n \u2009=\u20090.023), moderate physical activity (vs. low: OR\u2009=\u20090.64, 95% CI: 0.42\u20130.97,\n p<\/jats:italic>\n \u2009=\u20090.034), and high physical activity (vs. low: OR\u2009=\u20090.40, 95% CI: 0.25\u20130.65,\n p<\/jats:italic>\n \u2009<\u20090.001) were significantly associated with kinesiophobia occurrence (\n p<\/jats:italic>\n \u2009<\u20090.05). For each one\u2010point increase in stress, anxiety, and objective support, the odds of kinesiophobia increased by 9% (OR\u2009=\u20091.09, 95% CI: 1.02\u20131.15,\n p<\/jats:italic>\n \u2009=\u20090.008), 21% (OR\u2009=\u20091.21, 95% CI: 1.12\u20131.29,\n p<\/jats:italic>\n \u2009<\u20090.001), and 9% (OR\u2009=\u20091.09, 95% CI: 1.01\u20131.19,\n p<\/jats:italic>\n \u2009=\u20090.027), respectively. For each one\u2010point increase in depression and SEE\u2010C score, the odds of kinesiophobia decreased by 11% (OR\u2009=\u20090.89, 95% CI: 0.84\u20130.96,\n p<\/jats:italic>\n \u2009=\u20090.001) and 1% (OR\u2009=\u20090.99, 95% CI: 0.98\u20130.99,\n p<\/jats:italic>\n \u2009<\u20090.001), respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Kinesiophobia is highly prevalent among post\u2010PCI patients. Identified associated factors include marital status, occupational status, number of children, illness familiarity, hypertension comorbidity, cardiac rehabilitation participation, physical activity level, levels of psychological distress, objective support, and exercise self\u2010efficacy. These findings highlight potential targets for intervention.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and Patient Care<\/jats:title>\n Nurses should integrate routine kinesiophobia screening using the TSK\u2010SV Heart scale into post\u2010PCI assessment protocols. Risk\u2010stratified screening should prioritize married or retired patients, those with fewer than three children, individuals with hypertension, and those with low baseline physical activity. For patients with low exercise self\u2010efficacy, nurses can use motivational interviewing; for those with elevated anxiety or stress, collaborative cognitive\u2010behavioural therapy is recommended. These nursing actions can reduce kinesiophobia and improve cardiac rehabilitation adherence.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n \n \n \n \n What problem did the study address?<\/jats:bold>\n Kinesiophobia is a common but under\u2010recognized barrier to cardiac rehabilitation in post\u2010PCI patients, yet its prevalence and modifiable factors in Chinese populations remain poorly understood.\n <\/jats:p>\n <\/jats:list-item>\n \n \n What were the main findings?<\/jats:bold>\n The prevalence of kinesiophobia was 80.41%. Independent associated factors included marital status, retirement, number of children, illness familiarity, hypertension, cardiac rehabilitation participation, physical activity level, anxiety, stress, depression, objective support, and exercise self\u2010efficacy.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Where and on whom will the research have an impact?<\/jats:bold>\n The findings directly inform cardiac nursing practice in China and similar settings, enabling nurses to identify high\u2010risk patients and implement targeted psychosocial interventions.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n This study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline for cross\u2010sectional observational studies.<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n No patient or public contributed to the design, conduct, analysis, or interpretation of this study.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n This observational study was registered in the Chinese Clinical Trial Registry (No. ChiCTR2300070396;\n https:\/\/www.chictr.org.cn\/<\/jats:ext-link>\n )\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nop2.70748","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T10:35:51Z","timestamp":1786530951000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence of Kinesiophobia and Associated Factors Among Patients After Percutaneous Coronary Intervention: A Multicenter Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"given":"Chunyuan","family":"Wang","sequence":"first","affiliation":[{"name":"Interventional Operation Center Guangzhou First People's Hospital Guangzhou 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