The Scope Review of Kinesiophobia in Patients with Chronic Obstructive Pulmonary Disease

Objective: To review the current status of research on kinesiophobia, assessment tools, influencing factors, and intervention strategies in patients with chronic obstructive pulmonary disease, aiming to provide a reference for promoting pulmonary rehabilitation in these patients. Methods: A scoping review framework was employed to search databases including CNKI, Wanfang, VIP, China Biology Medicine (CBM), PubMed, Web of Science, and Wiley Online Library. The search time frame spanned from the database inception to May 20, 2024. Two researchers independently screened the literature, summarized, and analyzed the data. Results: A total of 18 articles were included. Commonly used assessment tools included the Tampa Scale for kinesiophobia and the dyspnea beliefs questionnaire. Influencing factors encompassed demographic, disease-related, psychosocial, and BMI-related factors. Intervention methods included inspiratory muscle training, narrative nursing, and cognitive interventions combined with active cycle of breathing techniques. Conclusion: The incidence of kinesiophobia in COPD patients is relatively high and varies among individuals, influenced by multiple factors. There is a need to develop localized assessment tools to identify kinesiophobia in a timely and accurate manner and to further refine intervention strategies.