{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T08:34:25Z","timestamp":1770280465575,"version":"3.49.0"},"reference-count":41,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Jiangsu Provincial Young Science and Technology Talent Support Project","award":["JSTJ-2024-624"],"award-info":[{"award-number":["JSTJ-2024-624"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Peripherally Inserted Central Catheters (PICCs) are widely utilized in tumor patients due to their lower risk of complications, extended indwelling duration, reduced local tissue trauma, and overall cost-effectiveness. Based on the Health Action Process Approach (HAPA) theory, this study aims to explore the current status and influencing factors of kinesiophobia in tumor patients with PICCs. The study provides reference for clarifying the mechanism of kinesiophobia and developing nursing intervention plans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Through convenience sampling, 162 tumor patients who underwent PICC maintenance in three hospitals in Jiangsu Province from December 4th, 2023, to December 31st, 2024 were selected. The patient general information questionnaire, Tampa scale of kinesiophobia, medical coping modes questionnaire, exercise self-efficacy scale, risk perception questionnaire, outcome expectation scale, exercise intention scale, and social support rating scale were used for evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>Tumor patients carrying PICC had a kinesiophobia score of 20.11\u2009\u00b1\u20096.94 points, and 42.59% of tumor patients with PICC had kinesiophobia. The results of multiple linear regression showed that the duration of catheter placement(t\u2009=\u2009\u22123.506,P\u2009=\u20090.001), pain(t\u2009=\u20092.652,P\u2009=\u20090.009), exercise self-efficacy(t\u2009=\u2009\u22123.891,P\u2009&lt;\u20090.001), and risk perception(t\u2009=\u20093.157,P\u2009=\u20090.002) are the main influencing factors of kinesiophobia in tumor patients with PICC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings underscore a significant clinical concern regarding kinesiophobia among tumor patients with PICC. It is essential for nursing staff to implement systematic assessments and tailored interventions aimed at mitigating kinesiophobia. Addressing this issue can contribute to reducing associated adverse reactions and improving patient mobility and overall quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0332064","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:36:11Z","timestamp":1770230171000},"page":"e0332064","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the current status and influencing factors of kinesiophobia in tumor patients with peripherally inserted central catheter: A cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"given":"Xiaohua","family":"Zhu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4298-3725","authenticated-orcid":true,"given":"Rong","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaozhu","family":"Qiao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"issue":"3","key":"pone.0332064.ref001","first-page":"209","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"H Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"pone.0332064.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1360\/SSV-2022-0028","article-title":"Consensus of Chinese experts on exercise therapy for cancer patients","volume":"52","author":"M Cong","year":"2022","journal-title":"Sci Sin-Vitae"},{"issue":"1","key":"pone.0332064.ref003","first-page":"85","article-title":"Pain prevalence and characteristics in survivors of solid cancers: a systematic review and meta-analysis","volume":"31","author":"V Haenen","year":"2022","journal-title":"Support Care Cancer"},{"issue":"8","key":"pone.0332064.ref004","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1002\/ejp.1994","article-title":"A meta-analysis of the associations of elements of the fear-avoidance model of chronic pain with negative affect, depression, anxiety, pain-related disability and pain intensity","volume":"26","author":"AH Rogers","year":"2022","journal-title":"Eur J Pain"},{"issue":"32","key":"pone.0332064.ref005","first-page":"4494","article-title":"A study on the current status of intravenous treatment in 743 secondary and tertiary hospitals","volume":"26","author":"i Wang L e","year":"2020","journal-title":"Chinese J Modern Nursing"},{"issue":"10","key":"pone.0332064.ref006","first-page":"4753","article-title":"Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment","volume":"28","author":"D Mielke","year":"2020","journal-title":"Support Care Cancer"},{"key":"pone.0332064.ref007","doi-asserted-by":"crossref","DOI":"10.1097\/NAN.0000000000000396","article-title":"Infusion therapy standards of practice, 8th edition","volume":"44","author":"LA Gorski","year":"2021","journal-title":"J Infus Nurs"},{"issue":"2","key":"pone.0332064.ref008","first-page":"441","article-title":"Living with a peripherally inserted central catheter: The perspective of cancer outpatients-a qualitative study","volume":"26","author":"P Par\u00e1s-Bravo","year":"2018","journal-title":"Support Care Cancer"},{"issue":"17","key":"pone.0332064.ref009","first-page":"80","article-title":"Meta-synthesis of qualitative research on fear of patients related to PICC catheterization","volume":"37","author":"J Shao","year":"2022","journal-title":"J Nurs Sci"},{"issue":"11","key":"pone.0332064.ref010","first-page":"1773","article-title":"System evaluation and meta integration on real experience of patients using PICC catheter","volume":"32","author":"o Cui B","year":"2018","journal-title":"Chinese Nurs Res"},{"key":"pone.0332064.ref011","article-title":"Kinesphobia: a new view of chronic pain behaviour","author":"S Kori","year":"1990","journal-title":"Pain Management"},{"key":"pone.0332064.ref012","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2478\/v10078-011-0019-8","article-title":"Kinesiophobia - introducing a new diagnostic tool","volume":"28","author":"A Knapik","year":"2011","journal-title":"J Hum Kinet"},{"issue":"1","key":"pone.0332064.ref013","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1186\/s12872-020-01783-9","article-title":"Factors related to fear of movement after acute cardiac hospitalization","volume":"20","author":"P Keessen","year":"2020","journal-title":"BMC Cardiovasc Disord"},{"issue":"13","key":"pone.0332064.ref014","doi-asserted-by":"crossref","first-page":"2727","DOI":"10.1080\/09593985.2021.1996496","article-title":"Is kinesiophobia related to fear of falling, dizziness disability, and migraine disability in patients with migraine?","volume":"38","author":"CF Pinheiro","year":"2022","journal-title":"Physiother Theory Pract"},{"issue":"5","key":"pone.0332064.ref015","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1002\/jor.25151","article-title":"Strength and physical activity in osteoarthritis: The mediating role of kinesiophobia","volume":"40","author":"B Aydemir","year":"2022","journal-title":"J Orthop Res"},{"issue":"5","key":"pone.0332064.ref016","article-title":"Comparison of complications between reverse-tapered and nontapered peripherally inserted central catheters","volume":"18","author":"HS Bae","year":"2023","journal-title":"PLoS One"},{"issue":"7","key":"pone.0332064.ref017","article-title":"The association between ABO blood types and peripherally inserted central catheter-related venous thrombosis for patients with cancer: A retrospective 7-year single-center experience and meta-analysis","volume":"19","author":"X-H Wu","year":"2024","journal-title":"PLoS One"},{"issue":"2","key":"pone.0332064.ref018","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1136\/spcare-2024-005239","article-title":"Physical activity, fatigue, kinesiophobia and quality of life: comparative study of prostate cancer survivors with healthy controls","volume":"15","author":"E Cihan","year":"2025","journal-title":"BMJ Support Palliat Care"},{"issue":"1","key":"pone.0332064.ref019","first-page":"31","article-title":"Methods and common pitfalls of sample size estimation in clinical studies","volume":"17","author":"YS Pan","year":"2022","journal-title":"Chin J Stroke"},{"key":"pone.0332064.ref020","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.pain.2005.05.029","article-title":"Psychometric properties of the TSK-11: A shortened version of the Tampa Scale for Kinesiophobia","volume":"117","author":"SR Woby","year":"2005","journal-title":"Pain"},{"issue":"6","key":"pone.0332064.ref021","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1016\/j.arth.2019.01.076","article-title":"Cross-cultural adaptation, reliability, and validity of the Chinese version of the Tampa scale for kinesiophobia-11 among patients who have undergone total knee arthroplasty","volume":"34","author":"L Cai","year":"2019","journal-title":"J Arthroplasty"},{"issue":"9","key":"pone.0332064.ref022","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18094791","article-title":"Kinesiophobia levels in patients with parkinson\u2019s disease: A case-control investigation","volume":"18","author":"AM Jimenez-Cebrian","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"pone.0332064.ref023","first-page":"22","article-title":"Report on application of Chinese version of MCMQ in 701 patients","author":"X Shen","year":"2000","journal-title":"Chinese J Behavioral Medical Brain Sci"},{"issue":"4","key":"pone.0332064.ref024","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1111\/j.0737-1209.2005.220405.x","article-title":"Applying the Transtheoretical Model to physical activity in family caregivers in Taiwan","volume":"22","author":"W-C Tung","year":"2005","journal-title":"Public Health Nurs"},{"key":"pone.0332064.ref025","author":"i Fang L e","year":"2015"},{"key":"pone.0332064.ref026","first-page":"1","article-title":"Risk and health behaviors: documentation of the scales of the research project \u201cRisk appraisal consequences in Korea\u201d (RACK)","author":"B Renner","year":"2005","journal-title":"Risk and Health Behaviors: Documentation of the Scales of the Research Project \u201cRisk Appraisal Consequences in Korea\u201d (RACK)"},{"key":"pone.0332064.ref027","author":"Y Duan","year":"2006"},{"key":"pone.0332064.ref028","first-page":"98","article-title":"Theoretical Basis and Research Application of the Social Support Rating Scale","author":"S Xiao","year":"1994","journal-title":"Journal of Clinical Psychiatry"},{"issue":"2","key":"pone.0332064.ref029","doi-asserted-by":"crossref","first-page":"139","DOI":"10.5606\/tftrd.2019.2585","article-title":"Is kinesiophobia associated with lymphedema, upper extremity function, and psychological morbidity in breast cancer survivors?","volume":"65","author":"A Gencay Can","year":"2018","journal-title":"Turk J Phys Med Rehabil"},{"key":"pone.0332064.ref030","doi-asserted-by":"crossref","first-page":"1010315","DOI":"10.3389\/fonc.2023.1010315","article-title":"The level of kinesiophobia in breast cancer women undergoing surgical treatment","volume":"13","author":"E Malchrowicz-Mo\u015bko","year":"2023","journal-title":"Front Oncol"},{"issue":"6","key":"pone.0332064.ref031","first-page":"4927","article-title":"Kinesiophobia and related factors in cancer patients with TIAPs during the long term: A cross-sectional survey","volume":"30","author":"Y-W Wang","year":"2022","journal-title":"Support Care Cancer"},{"issue":"12","key":"pone.0332064.ref032","doi-asserted-by":"crossref","first-page":"3001","DOI":"10.1007\/s40279-022-01739-3","article-title":"Kinesiophobia, knee self-efficacy, and fear avoidance beliefs in people with ACL injury: A systematic review and meta-analysis","volume":"52","author":"GS Bullock","year":"2022","journal-title":"Sports Med"},{"issue":"4","key":"pone.0332064.ref033","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1519\/JPT.0000000000000354","article-title":"Kinesiophobia and fear avoidance in older adults: A Systematic review on constructs and related measures","volume":"45","author":"V Alpalh\u00e3o","year":"2022","journal-title":"J Geriatr Phys Ther"},{"issue":"30","key":"pone.0332064.ref034","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000029529","article-title":"Status and influencing factors of patients with kinesiophobia after insertion of peripherally inserted central catheter: A cross-sectional study","volume":"101","author":"W Liuyue","year":"2022","journal-title":"Medicine (Baltimore)"},{"issue":"2","key":"pone.0332064.ref035","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s11912-021-01166-z","article-title":"Cancer pain management-new therapies","volume":"24","author":"H Zhang","year":"2022","journal-title":"Curr Oncol Rep"},{"issue":"3","key":"pone.0332064.ref036","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s00431-025-06032-9","article-title":"Understanding kinesiophobia in pediatric bone tumors: Investigating its presence and predictive factors","volume":"184","author":"GG Y\u0131lmaz","year":"2025","journal-title":"Eur J Pediatr"},{"issue":"8","key":"pone.0332064.ref037","doi-asserted-by":"crossref","DOI":"10.1002\/cam4.70865","article-title":"Overcome the fear of exercise in patients with bone metastases: A qualitative study on patients\u2019 perception","volume":"14","author":"A Borsati","year":"2025","journal-title":"Cancer Med"},{"issue":"1","key":"pone.0332064.ref038","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s13643-018-0721-x","article-title":"Protocol for a systematic review and thematic synthesis of patient experiences of central venous access devices in anti-cancer treatment","volume":"7","author":"C Ryan","year":"2018","journal-title":"Syst Rev"},{"issue":"1","key":"pone.0332064.ref039","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1080\/0284186X.2020.1851046","article-title":"Is it safe to exercise during oncological treatment? A study of adverse events during endurance and resistance training - data from the Phys-Can study","volume":"60","author":"A Henriksson","year":"2021","journal-title":"Acta Oncol"},{"issue":"2","key":"pone.0332064.ref040","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/02683555221149597","article-title":"Effect of exercise therapy on PICC-associated venous thromboembolism: A meta-analysis","volume":"38","author":"A Liu","year":"2023","journal-title":"Phlebology"},{"key":"pone.0332064.ref041","doi-asserted-by":"crossref","first-page":"1095647","DOI":"10.3389\/fsurg.2023.1095647","article-title":"Impacts of self-confidence cultivation combined with family collaborative nursing on the hope level, stigma and exercise tolerance in patients undergoing radical resection of pulmonary carcinoma","volume":"10","author":"F Ye","year":"2023","journal-title":"Front Surg"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0332064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:36:56Z","timestamp":1770230216000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0332064"}},"subtitle":[],"editor":[{"given":"Christoph","family":"Strumann","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":41,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,4]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0332064","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}