Cardiac Rehabilitation Center, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450014, China.
School of Nursing, Peking University, Beijing, 100191, China.
Heart Lung. 2023 Jan-Feb;57:7-11. doi: 10.1016/j.hrtlng.2022.07.012. Epub 2022 Aug 17.
In the field of chronic pain research, kinesiophobia is defined as avoidance behavior due to fear of pain, but this perspective seems to be neglected in the field of coronary artery disease (CAD).
To investigate the status quo of angina pectoris (AP) and kinesiophobia and factors associated with kinesiophobia in patients with AP of CAD.
This was a cross-sectional study. Participants were recruited by convenience sampling, and patients with AP of CAD in four wards of the Cardiology Department of a hospital were enrolled in this study. Participants completed questionnaires and scales face-to-face with researchers.
Most patients with AP of CAD suffered from at least moderate pain episodes (60.2%) of at least 5 minutes per episode (53.8%), but less than 1/3 of patients reached 5 instances of pain per week (29.1%). The total score of kinesiophobia in patients was 40.80±6.65, and the vast majority of patients had moderate to high levels of kinesiophobia (75.7%). The results of multiple linear stepwise regression analysis showed that personal monthly income, New York Heart Function Assessment (NYHA) classification, pain intensity, and pain resilience were independent factors associated with kinesiophobia, and these factors explained 30.2% of the variation in total scores of kinesiophobia.
The symptoms of AP were prominent in terms of pain intensity and duration of pain. The level of kinesiophobia was moderate, and this was affected by multiple factors. Health care providers and researchers seldom pay attention to the kinesiophobia of patients with AP of CAD. This study refocused on the effect of "fear of pain" in kinesiophobia in patients with CAD. It opens up new horizons for the application of fear-avoidance models in CAD patients and helps to raise awareness of kinesiophobia in AP patients with CAD and provides guidance for reducing the level of kinesiophobia in the future.
在慢性疼痛研究领域，运动恐惧被定义为由于害怕疼痛而产生的回避行为，但这一观点在冠状动脉疾病（CAD）领域似乎被忽视了。
调查 CAD 稳定型心绞痛（AP）患者的 AP 现状和运动恐惧状况，以及与运动恐惧相关的因素。
这是一项横断面研究。通过便利抽样招募参与者，将心内科四个病房的 CAD 稳定型心绞痛患者纳入本研究。参与者与研究人员面对面完成问卷和量表。
大多数 CAD 稳定型心绞痛患者至少有一次疼痛发作持续 5 分钟以上（53.8%），至少有中等强度疼痛（60.2%），但每周疼痛发作少于 5 次的患者不到 1/3（29.1%）。患者运动恐惧总分 40.80±6.65，绝大多数患者存在中高度运动恐惧（75.7%）。多元线性逐步回归分析结果显示，个人月收入、纽约心功能分级（NYHA）、疼痛强度和疼痛弹性是运动恐惧的独立影响因素，这些因素解释了运动恐惧总分 30.2%的变异。
AP 的症状在疼痛强度和疼痛持续时间方面较为突出。运动恐惧程度处于中等水平，且受多种因素影响。医疗保健提供者和研究人员很少关注 CAD 稳定型心绞痛患者的运动恐惧。本研究重新关注了 CAD 患者运动恐惧中“对疼痛的恐惧”的影响，为恐惧回避模型在 CAD 患者中的应用开辟了新的视野，并有助于提高对 CAD 稳定型心绞痛患者运动恐惧的认识，为今后降低运动恐惧水平提供指导。
