Research progress on kinesiophobia in school-aged children with asthma and nursing enlightenment

doi:10.3761/j.issn.0254-1769.2025.19.018

Abstract

Abstract:

Kinesiophobia is prevalent among school-aged children with asthma，and severe kinesiophobia can hinder their participation in physical activities and disease control，adversely affecting their physical and mental health. This paper reviews the concept，development，assessment tools，influencing factors，and intervention strategies of kinesiophobia in school-aged children with asthma，analyzes existing challenges，and proposes directions for future research. It aims to provide insights for developing scientific and personalized intervention plans to enhance children’s exercise levels and improve their quality of life.

Key words: Asthma, School-Aged Children, Kinesiophobia, Review, Pediatric Nursing

摘要：

学龄期哮喘患儿运动恐惧普遍存在，严重的运动恐惧将影响患儿的运动参与及疾病控制，不利于其身心健康发展。该文对学龄期哮喘患儿运动恐惧的概念与发展、测评工具、影响因素及干预策略4个方面进行综述，分析现存问题并提出未来的研究方向，为制订科学、个性化的干预方案提供参考，以提升学龄期哮喘患儿的运动水平，改善其生活质量。

关键词: 哮喘, 学龄期儿童, 运动恐惧, 综述, 儿科护理学

SUN Zhixiang, FU Jing, WEN Pingpin, ZHANG Xiaoli, YANG Xinyu, LIU Chunyan, XIAO Yu. Research progress on kinesiophobia in school-aged children with asthma and nursing enlightenment[J]. Chinese Journal of Nursing, 2025, 60(19): 2419-2425.

孙智祥, 傅静, 文苹频, 张小莉, 杨鑫玉, 刘春燕, 肖宇. 学龄期哮喘患儿运动恐惧的研究进展及护理启示[J]. 中华护理杂志, 2025, 60(19): 2419-2425.

References 41

[1]	Mims JW. Asthma:definitions and pathophysiology[J]. Int Forum Allergy Rhinol, 2015, 5(Suppl 1):S2-S6.
[2]	沈礼丽, 周礼霞. 1990—2019年中国15岁以下儿童哮喘发病率和死亡率时间趋势及年龄-时期-队列效应分析[J]. 现代预防医学, 2022, 49(21):3871-3876.
	Shen LL, Zhou LX. Time trend and age-period-cohort effect of incidence and mortality of asthma in children under 15 years in China,1990-2019[J]. Mod Prev Med, 2022, 49(21):3871-3876.
[3]	Elnaggar RK, Osailan AM, Alghadier M, et al. Exercise strate-gies for reversing cardiopulmonary deconditioning in obese chil-dren with bronchial asthma:a randomized comparative effecti-veness study of constant-load and graded aerobic training[J]. Medicine, 2024, 103(48):e40667.
[4]	Pike KC, Griffiths LJ, Dezateux C, et al. Physical activity among children with asthma:cross-sectional analysis in the UK mil-lennium cohort[J]. Pediatr Pulmonol, 2019, 54(7):962-969.
[5]	许巍, 张长皓, 申昆玲. 学龄期支气管哮喘患儿身体活动水平调查[J]. 中华实用儿科临床杂志, 2021, 36(12):937-940.
	Xu W, Zhang CH, Shen KL. Survey of physical activity level of asthmatic school-age children[J]. Chin J Appl Clin Pediatr, 2021, 36(12):937-940.
[6]	尹悦, 蔡倩, 罗雯, 等. 学龄期肥胖哮喘患儿及其父母运动恐惧体验的质性研究[J]. 中华护理杂志, 2022, 57(24):3011-3016. DOI
	Yin Y, Cai Q, Luo W, et al. Qualitative analysis on the status and factors of the fear of physical activity in school-age obese children with asthma and their parents[J]. Chin J Nurs, 2022, 57(24):3011-3016. DOI
[7]	Balatoni I, Kiss T, Balla G, et al. Assessment of the physical activity of children with asthma bronchiale[J]. Sports, 2024, 12(4):114.
[8]	Ozer AY, Karaca S, Senocak E, et al. Does kinesiophobia limit physical activity and quality of life in asthmatic patients?[J]. Int J Rehabil Res, 2022, 45(3):230-236. DOI PMID
[9]	Rogulj M, Vukojevic K, Bruzzese JM, et al. Anxiety among pe-diatric asthma patients and their parents and quick-reliever medication use:the role of physical activity parenting beha-viours[J]. World Allergy Organ J, 2023, 16(1):100733.
[10]	MacKintosh KA, McNarry MA, Berntsen S, et al. Physical acti-vity and sedentary time in children and adolescents with asth-ma:a systematic review and meta-analysis[J]. Scand J Med Sci Sports, 2021, 31(6):1183-1195.
[11]	Isik E, Fredland NM, Young A, et al. A school nurse-led asthma intervention for school-age children:a randomized control trial to improve self-management[J]. J Sch Nurs, 2021, 37(6):480-490.
[12]	Hsia BC, Singh AK, Njeze O, et al. Developing and evaluating ASTHMAXcel adventures:a novel gamified mobile application for pediatric patients with asthma[J]. Ann Allergy Asthma Im-munol, 2020, 125(5):581-588.
[13]	Lethem J, Slade PD, Troup JD, et al. Outline of a fear-avoidance model of exaggerated pain perception:I[J]. Behav Res Ther, 1983, 21(4):401-408. DOI PMID
[14]	Kori S. Kinisophobia:a new view of chronic pain behavior:pain manage[Z]. 1990:3,35.
[15]	刘延锦, 蔡立柏, 徐秋露, 等. 慢性疼痛患者恐动症的研究进展[J]. 中华护理杂志, 2017, 52(2):234-239.
	Liu YJ, Cai LB, Xu QL, et al. Research progress of phobia in patients with chronic pain[J]. Chin J Nurs, 2017, 52(2):234-239.
[16]	徐慧萍, 张炎改, 刘延锦, 等. 全膝关节置换术后患者恐动症的影响因素研究[J]. 中华护理杂志, 2021, 56(10):1460-1465. DOI
	Xu HP, Zhang YG, Liu YJ, et al. A multifactorial model of kinesiophobia in patients with knee arthroplasty[J]. Chin J Nurs, 2021, 56(10):1460-1465.
[17]	胡文. 简体中文版TSK和FABQ量表的文化调适及其在退行性腰腿痛中的应用研究[D]. 上海: 第二军医大学, 2012.
	Hu W. Cultural adjustment of simplified Chinese TSK and FABQ scale and its application in degenerative lumbago and leg pain[D]. Shanghai: Second Military Medical University, 2012.
[18]	查丹, 付白娣, 居雅蓓. 学龄期支气管哮喘患儿运动恐惧症现状及影响因素[J]. 发育医学电子杂志, 2024, 12(2):89-95.
	Zha D, Fu BD, Ju YB. Current situation and influencing factors of kinesophobia in school-age children with bronchial asthma[J]. J Dev Med Electron Version, 2024, 12(2):89-95.
[19]	Waddell G, Newton M, Henderson I, et al. A Fear-Avoidance Beliefs Questionnaire(FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability[J]. Pain, 1993, 52(2):157-168. DOI PMID
[20]	Pei LB, Xia JJ, Yan JL. Cross-cultural adaptation,reliability and validity of the Chinese version of the Fear Avoidance Beliefs Questionnaire[J]. J Int Med Res, 2010, 38(6):1985-1996. DOI PMID
[21]	Simons LE, Sieberg CB, Carpino E, et al. The Fear of Pain Questionnaire(FOPQ):assessment of pain-related fear among children and adolescents with chronic pain[J]. J Pain, 2011, 12(6):677-686. DOI PMID
[22]	尹悦. 学龄期哮喘儿童运动恐惧量表编制及信效度检验[D]. 扬州: 扬州大学, 2023.
	Yin Y. Development of sports fear scale for school-age asth-matic children and its reliability and validity test[D]. Yang-zhou: Yangzhou University, 2023.
[23]	Reznik M, Islamovic F, Choi J, et al. Factors associated with in-school physical activity among urban children with asthma[J]. J Asthma, 2018, 55(5):492-501. DOI PMID
[24]	Reyes-Angel J, Kaviany P, Rastogi D, et al. Obesity-related asthma in children and adolescents[J]. Lancet Child Adolesc Health, 2022, 6(10):713-724.
[25]	Stratakis N, Garcia E, Chandran A, et al. The role of child-hood asthma in obesity development:a nationwide US multi-cohort study[J]. Epidemiology, 2022, 33(1):131-140.
[26]	Eijkemans M, Mommers M, Remmers T, et al. Physical activity and asthma development in childhood:prospective birth cohort study[J]. Pediatr Pulmonol, 2020, 55(1):76-82.
[27]	Lagiou O, Fouzas S, Lykouras D, et al. Exercise limitation in children and adolescents with mild-to-moderate asthma[J]. J Asthma Allergy, 2022, 15:89-98. DOI PMID
[28]	Saragondlu Lakshminarasappa D, Chandrasekaran V, Kandasa-my P. Co-morbid anxiety and depression in childhood asthma and its effect on symptom control:a cross sectional study[J]. Pediatr Pulmonol, 2021, 56(2):378-383.
[29]	Clarke R, Heath G, Nagakumar P, et al. “He’s not fat,he just has asthma”:a qualitative study exploring weight management in families living with pediatric asthma[J]. J Asthma, 2022, 59(9):1750-1757.
[30]	Langton CR, Hollenbach JP, Simoneau T, et al. Asthma mana-gement in school:parents’ and school personnel perspectives[J]. J Asthma, 2020, 57(3):295-305.
[31]	Nyenhuis SM, Kahwash B, Cooke A, et al. Recommendations for physical activity in asthma:a work group report of the AAAAI sports,exercise,and fitness committee[J]. J Allergy Clin Immunol Pract, 2022, 10(2):433-443.
[32]	林丽, 黎佩蓉, 高运英, 等. 运动负荷评估导引式分级运动干预在支气管哮喘青少年患者中的应用[J]. 河北医药, 2022, 44(11):1709-1711.
	Lin L, Li PR, Gao YY, et al. Application effects of guided graded exercise nursing based on exercise load assessment in adolescent patients with bronchial asthma[J]. Hebei Med J, 2022, 44(11):1709-1711.
[33]	王九红, 刘泽华, 王凤珍. 分级运动干预在青少年支气管哮喘患者呼吸功能改善中的应用[J]. 护理实践与研究, 2019, 16(7):44-46.
	Wang JH, Liu ZH, Wang FZ. Application of graded exercise intervention in improving respiratory function of patients with adolescent bronchial asthma[J]. Nurs Pract Res, 2019, 16(7):44-46.
[34]	Sloand E, Butz A, Rhee H, et al. Influence of social support on asthma self-management in adolescents[J]. J Asthma, 2021, 58(3):386-394. DOI
[35]	杨慧, 李红梅, 何芸, 等. 亲子阅读法对学龄期哮喘儿童症状管理和自我管理行为的影响[J]. 中国实用护理杂志, 2021(24):1880-1885.
	Yang H, Li HM, He Y, et al. Effect of parent-child biblio-therapy on symptom management and self-management beha-viors in school-age children with asthma[J]. Chin J Pract Nurs, 2021(24):1880-1885.
[36]	Caserman P, Hoffmann K, Müller P, et al. Quality criteria for serious games:serious part,game part,and balance[J]. JMIR Serious Games, 2020, 8(3):e19037.
[37]	Karakul A, Düzkaya DS, Bozkul G, et al. The effect of mobile game training designed for asthmatic children on asthma management and quality of life[J]. J Pediatr Nurs, 2024, 76:e149-e158. DOI PMID
[38]	Ferrante G, Licari A, Marseglia GL, et al. Digital health inter-ventions in children with asthma[J]. Clin Exp Allergy, 2021, 51(2):212-220.
[39]	Halterman JS, Fagnano M, Tremblay P, et al. Effect of the te-lemedicine enhanced asthma management through the emer-gency department(TEAM-ED) program on asthma morbidity:a randomized controlled trial[J]. J Pediatr, 2024, 266:113867.
[40]	Gümüş M, Yardimci F, Şenol HD, et al. Virtual care for pae-diatric asthma:a randomized controlled trial[J]. Int J Nurs Pract, 2024, 30(6):e13290.
[41]	Kim SH, Park SH, Kang I, et al. Environmental management education using immersive virtual reality in asthmatic child-ren in Korea:a randomized controlled study(secondary publi-cation)[J]. J Educ Eval Health Prof, 2022, 19:15.