运动恐惧介导疾病感知对哮喘患儿运动自我效能的影响及相关药物干预建议OA

Objective:To explore the mediating effect of kinesiophobia on disease perception and exercise self-efficacy in children with asthma,and to provide intervention strategies for sports management based on the model.Methods:From May 2023 to May 2024,totally 219 children with asthma diagnosed in our hospital were extracted.Children with asthma were investigated by Tampa Scale for Kinesiophobia(TSK),Brief Illness Perception Questionnaire(BIPQ)and Exercise Self-Efficacy Scale,the mediation model was constructed.Results:The TSK,BIPQ and Exercise Self-Efficacy Scale scores were respectively(41.25±9.23),(53.86±11.39)and(32.47±5.42)points.The TSK score was positively correlated with BIPQ score(r=0.505),and negatively correlated with the total score of exercise self-efficacy(r=-0.447).The BIPQ score was negatively correlated with the total score of exercise self-efficacy(r=-0.494,P＜0.05).Drug compliance,parent-child relationship,TSK score and BIPQ score were the influencing factors of Exercise Self-Efficacy Scale in children(P＜0.05).Kinesiophobia played a mediation effect between disease perception and exercise self-efficacy in children with asthma,accounting for 27.23％of the total effect(P＜0.05).Conclusion:Disease perception can directly affect the exercise self-efficacy of children with asthma,and can also indirectly affect the exercise self-efficacy through kinesiophobia.Clinically,the exercise self-efficacy of children can be improved through risk stratification and typing management.