Department of Adapted Physical Activity and Sport, Chair of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.
Department of Cardiology, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.
Medicina (Kaunas). 2020 Sep 11;56(9):467. doi: 10.3390/medicina56090467.
: Recommendations for the control of stable patients with coronary artery disease (CAD) related to an adequate level of physical activity (PA). Practical experience shows that the PA level in most people with CAD is definitely too low in relation to the guidelines. The cause may be psychological factors and among them the fear of movement-kinesiophobia. The aim of this project was to examine the evaluation of psychometric features of the Polish version of the Tampa Scale for Kinesiophobia Heart (TSK Heart), used in people with CAD. : The study involved 287 patients with stable CAD: 112 women and 175 men. Age: 63.50 (SD = 11.49) years. Kinesiophobia was assessed using TSK Heart, physical activity (PA)-using the International Physical Activity Questionnaire (IPAQ), and anxiety and depression was examined using the Hospital Anxiety and Depression Scale (HADS). The structure of TSK was examined using principal component analysis (PCA), internal cohesion (Cronbach's alpha, AC), and content validity was calculated by linear regression. : PCA showed a three-factor TSK structure. One-dimensionality and satisfactory reliability were found: TSK Heart: AC = 0.878. Kinesiophobia as a predictor of PA: R2 = 0.162 ( = 0.000000). Anxiety and depression-TSK: R2 = 0.093 ( = 0.00000). : The Polish version of TSK Heart for cardiac patients is characterized by good psychometric features. The use of it can improve the cooperation of rehabilitation teams for patients with CAD.
建议对冠心病（CAD）相关的稳定患者进行适当水平的体力活动（PA）控制。实践经验表明，大多数 CAD 患者的 PA 水平肯定低于指南建议。原因可能是心理因素，其中包括对运动的恐惧（运动恐惧症）。本项目的目的是检验波兰版 Tampa 量表对心脏运动恐惧症（TSK Heart）在 CAD 患者中的心理计量学特征的评估。
该研究纳入了 287 例稳定型 CAD 患者：112 名女性和 175 名男性。年龄：63.50（SD=11.49）岁。使用 TSK Heart 评估运动恐惧症，使用国际体力活动问卷（IPAQ）评估体力活动（PA），使用医院焦虑和抑郁量表（HADS）评估焦虑和抑郁。使用主成分分析（PCA）、内部一致性（Cronbach's alpha，AC）检验 TSK 结构，并通过线性回归计算内容效度。
PCA 显示 TSK 具有三因素结构。发现一维性和良好的可靠性：TSK Heart：AC=0.878。运动恐惧症作为 PA 的预测指标：R2=0.162（p<0.000000）。焦虑和抑郁-TSK：R2=0.093（p<0.00000）。
波兰版 TSK Heart 对心脏患者具有良好的心理计量学特征。使用它可以改善 CAD 患者康复团队的合作。
