Title : Qualitative study on the experiences of kinesiophobia and coping needs of middle-aged and elderly stroke patients
Abstract:
Objective: Based on the fear-avoidance model, this study aims to explore the experiences of kinesiophobia and the coping needs of middle-aged and elderly stroke patients, providing a basis for formulating targeted exercise intervention plans.
Methods: Using purposive sampling, 15 middle-aged and elderly stroke patients who visited the neurorehabilitation department of a tertiary grade A hospital in Zhengzhou from March 2026 to June 2026 were selected as the research subjects. Semi-structured, in-depth interviews were conducted, and the data were analyzed using the Colaizzi 7-step analysis method to extract themes.
Results: Based on the fear-avoidance model, 3 themes were extracted.
1. Kinesiophobia in middle-aged and elderly stroke patients has multiple causes, sudden illness-induced physical loss of control and near-death experience, the continuous reinforcement effect of traumatic memories, insufficient disease cognition and incorrect attribution.
2. The experiences of kinesiophobia in middle-aged and elderly stroke patients are complex, enhanced physical alertness and excessive sensitivity, significant negative emotional experiences; avoidance behaviors and dependent mentality.
3. The coping needs of middle-aged and elderly stroke patients with kinesiophobia include professional medical and rehabilitation guidance, psychological and emotional support, resources and environmental support, family care and support. Conclusion: Middle-aged and elderly stroke patients often have incorrect perceptions of movement and adopt avoidance coping methods, reducing exercise compliance and contributing to kinesiophobia. Clinical medical staff should strengthen health education, help formulate exercise plans, and provide support to alleviate fear of movement and promote scientific exercise
Key Words: Middle-Aged and Elderly, Stroke, Kinesiophobia, Qualitative Research.
