Genç Fatma Zehra, Bilgili Naile
Department of Public Health Nursing, Coordination of Project Development and Support, Necmettin Erbakan University, Konya, Türkiye.
Department of Public Health Nursing, Faculty of Nursing, Gazi University, Ankara, Türkiye.
Int J Nurs Pract. 2025 Apr;31(2):e70002. doi: 10.1111/ijn.70002.
To investigate the relationship between kinesiophobic attitudes and their causes and frailty in older people.
This descriptive, relationship-seeking study was conducted with 302 people aged over 65 years. The data were collected through face-to-face interviews between July and September 2023, using a personal information form, the Tampa Scale of Kinesiophobia, the Kinesiophobia Causes Scale (KCS) and the Edmonton Frail Scale (EFS). The data were analysed using Pearson's correlation test, linear regression and binary logistic regression.
A total of 92.7% of older adults experienced high levels of kinesiophobia, while 80.5% presented various degrees of frailty. Most people's kinesiophobia is caused by psychological factors. There is a positive and significant correlation between kinesiophobia and frailty, as well as between the causes of kinesiophobia and frailty. The linear regression model showed that age, sex, physical activity, pain score, kinesiophobic attitudes and causes explained 52.1% of the variation in the EFS score. The binary logistic regression model, based on the frailty categorical variable (frail vs. non-frail), found that age, sex, physical activity, pain score and kinesiophobic attitudes accounted for 49.0% of the variation in the EFS score.
Kinesiophobic attitudes and causes are important risk factors for frailty and can predict an individual's frailty state.
探讨老年人运动恐惧态度及其成因与身体虚弱之间的关系。
本研究为描述性、探索关系性研究，共纳入302名65岁以上的老年人。于2023年7月至9月通过面对面访谈收集数据，使用个人信息表、坦帕运动恐惧量表、运动恐惧成因量表（KCS）和埃德蒙顿虚弱量表（EFS）。采用Pearson相关检验、线性回归和二元逻辑回归对数据进行分析。
共有92.7%的老年人运动恐惧程度较高，80.5%的老年人存在不同程度的身体虚弱。大多数人的运动恐惧是由心理因素引起的。运动恐惧与身体虚弱之间、运动恐惧成因与身体虚弱之间均存在显著正相关。线性回归模型显示，年龄、性别、身体活动、疼痛评分、运动恐惧态度及其成因可解释EFS评分变异的52.1%。基于虚弱分类变量（虚弱与非虚弱）的二元逻辑回归模型发现，年龄、性别、身体活动、疼痛评分和运动恐惧态度可解释EFS评分变异的49.0%。
运动恐惧态度及其成因是身体虚弱的重要危险因素，能够预测个体的虚弱状态。
