Volume 24 Issue 2
Feb.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(2): 243-246
HE Huan, ZHAO Xue, CAI Peng, ZHAN Xiaoya, MA Lei. A qualitative study of the experience of kinesiophobia in elderly patients with chronic obstructive pulmonary disease on stress process model[J]. Chinese Journal of General Practice, 2026, 24(2): 243-246. doi: 10.16766/j.cnki.issn.1674-4152.004370
Citation: HE Huan, ZHAO Xue, CAI Peng, ZHAN Xiaoya, MA Lei. A qualitative study of the experience of kinesiophobia in elderly patients with chronic obstructive pulmonary disease on stress process model[J]. Chinese Journal of General Practice, 2026, 24(2): 243-246. doi: 10.16766/j.cnki.issn.1674-4152.004370
shu

A qualitative study of the experience of kinesiophobia in elderly patients with chronic obstructive pulmonary disease on stress process model

doi: 10.16766/j.cnki.issn.1674-4152.004370
  • 1.

    Nursing Department, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou 550004, China

Funds:

 gzwkj2021-477

 gyfyhl-2024-A19

  • Received Date: 2025-05-20
    Available Online: 2026-04-11
    Abstract
  •   Objective  It has been observed that elderly patients suffering from chronic obstructive pulmonary disease (COPD) have experienced a gradual decline in cardiopulmonary function, resulting in a substantial reduction in their exercise endurance levels. Their concerns include the potential adverse effects of exercise on their respiratory function and the emergence of a fear of exercise. The present study conducted interviews from the perspective of a stress process model to explore in depth the psychological experience and key influencing factors of exercise fear in elderly patients with chronic obstructive pulmonary disease, providing a reference for clinical medical staff to develop relevant intervention measures.  Methods  Purposive sampling was utilized to select elderly patients suffering from chronic obstructive pulmonary disease from Affiliated Hospital of Guizhou Medical University from May to August 2024, for the purpose of serving as research subjects. Semi-structured interviews were conducted, and a total of 12 patients were interviewed. The utilization of conventional content analysis methodologies is imperative for the purpose of data analysis, summarization and theme extraction.  Results  The psychological experience of exercise fear in elderly patients with chronic obstructive pulmonary disease was summarized into four themes: (1) Perception and cognitive bias of exercise related stressors (threat of exercise-induced discomfort, imbalanced cognition of exercise benefits/risks, low self-efficacy). (2) The absence of support system (insufficient family support, inaccurate medical information). (3) The utilization of negative coping strategies (active avoidance, emotional focus coping such as anxiety/helplessness). (4) The occurrence of adverse physical and mental consequences (increased fear of movement, restricted functional activities).  Conclusion  The impact of exercise on the fear experienced by elderly patients diagnosed with chronic obstructive pulmonary disease is influenced by multiple factors. In clinical practice, it is incumbent upon medical staff to promptly correct patients ' cognitive biases towards exercise, provide diverse support, guide patients to adopt positive coping strategies, and provide corresponding psychological counselling to help patients alleviate their experience of exercise fear and promote their recovery.

     

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