Baykal Şahin Hanife, Kalaycıoğlu Ezgi, Şahin Mürsel
Department of Physical Medicine and Rehabilitation, Karadeniz Technical University, School of Medicine, Trabzon, Turkey.
Department of Cardiology, University of Health Sciences, Ahi Evren Chest and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey.
Turk J Phys Med Rehabil. 2021 May 25;67(2):203-210. doi: 10.5606/tftrd.2021.5164. eCollection 2021 Jun.
The aim of this study was to define the level of kinesiophobia in cardiac patients, to determine whether there was a positive change in kinesiophobia after an exercise based cardiac rehabilitation (CR), and to define the associated variables with the change in kinesiophobia.
Between September 2017 and December 2018, a total of 98 patients (63 males, 35 females; mean age: 58±10.4 years; range, 36 to 78 years) diagnosed with coronary artery disease (CAD) were included in the study. The Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) was used to measure kinesiophobia. The short form of the International Physical Activity Questionnaire (IPAQ) was applied to measure physical activity level. The Short Form 36 (SF-36) was used to measure health-related quality of life (HRQoL). After CR, kinesiophobia was reevaluated.
A high level of kinesiophobia was present in 74.5% of the patients. The mean TSK-SV heart score was 41.4±6.2. After CR, 34.6% of the patients had a high level of kinesiophobia (p<0.001). The patients with a high level of kinesiophobia were physically more inactive than those with a low level of kinesiophobia (p=0.001) and HRQoL scores were significantly lower (p<0.05).
Kinesiophobia is quite common in patients with CAD. Aerobic exercise capacity and physical activity levels are lower in patients with a high level of kinesiophobia, compared to those with a low level of kinesiophobia. After an exercise-based CR program, kinesiophobia significantly reduces.
本研究旨在确定心脏病患者的运动恐惧水平，判定基于运动的心脏康复（CR）后运动恐惧是否有积极变化，并确定与运动恐惧变化相关的变量。
2017年9月至2018年12月期间，共有98例被诊断为冠状动脉疾病（CAD）的患者（63例男性，35例女性；平均年龄：58±10.4岁；范围36至78岁）纳入本研究。采用坦帕运动恐惧量表心脏版（TSK-SV Heart）测量运动恐惧。应用国际体力活动问卷简表（IPAQ）测量体力活动水平。采用简明健康状况调查量表（SF-36）测量健康相关生活质量（HRQoL）。心脏康复后，对运动恐惧进行重新评估。
74.5%的患者存在高水平的运动恐惧。TSK-SV心脏量表平均得分41.4±6.2。心脏康复后，34.6%的患者存在高水平的运动恐惧（p<0.001）。运动恐惧水平高的患者比运动恐惧水平低的患者身体活动更少（p=0.001），且健康相关生活质量得分显著更低（p<0.05）。
运动恐惧在CAD患者中相当常见。与运动恐惧水平低的患者相比，运动恐惧水平高的患者有氧运动能力和体力活动水平更低。经过基于运动的心脏康复计划后，运动恐惧显著降低。
