| 摘要: |
| 目的:探讨运动恐惧在哮喘患儿疾病感知与运动自我效能的中介效应,并基于模型为运动管理提供干预策略。方法:选
取2023 年5 月-2024 年5 月在我院确诊的219 例哮喘患儿,采用运动恐惧量表(TSK)、疾病感知量表(BIPQ)、运动自我效能量
表进行调研,构建中介模型。结果:219 例哮喘患儿TSK 得分为(41. 25±9. 23)分,BIPQ 得分为(53. 86±11. 39)分、运动自我效能
量表得分为(32. 47±5. 42)分。TSK 得分与BIPQ 得分呈正相关( r = 0. 505),与运动自我效能得分呈负相关( r = -0. 447);BIPQ
得分与运动自我效能得分呈负相关(r =-0. 494,P 均<0. 05)。服药依从性、亲子关系、TSK 得分和BIPQ 得分是患儿运动自我效
能的影响因素(P<0. 05)。运动恐惧在哮喘患儿疾病感知与运动自我效能间起部分中介效应,占总效应27. 23%( P<0. 05)。
结论:疾病感知可直接影响哮喘患儿运动自我效能,也可通过运动恐惧间接影响运动自我效能,临床可通过风险分层及分类管
理改善患儿运动自我效能。 |
| 关键词: 运动恐惧 哮喘 疾病感知 运动自我效能 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2026.02.012 |
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| 基金项目:基金项目:安徽省卫生健康委科研项目,编号AHWJ2021b151。 |
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| Risk Stratification and Exercise Management for Disease Perception in Children with Asthma Under theMediation Model of Kinesiophobia |
| Tao Tingyue, Wang Yu, Pan Xuejun, Mei Qian |
| (Anhui Children’s Hospital, Hefei 230000, China) |
| Abstract: |
| 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. |
| Key words: kinesiophobia asthma disease perception exercise self-efficacy |
