经皮冠状动脉介入治疗后患者的运动恐惧症及其相关因素:一项横断面研究。
Kinesophobia and its related factors in patients after percutaneous coronary intervention: A cross-sectional study.
机构信息
School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin City, China.
Nursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang City, Hunan Province, China.
出版信息
J Clin Nurs. 2024 Dec;33(12):4692-4707. doi: 10.1111/jocn.17126. Epub 2024 Mar 20.
OBJECTIVES
To explore the postoperative kinesophobia of patients after percutaneous coronary intervention (PCI) and its related factors.
BACKGROUND
Percutaneous coronary intervention is an effective method to treat coronary heart disease (CHD), and cardiac rehabilitation is an important auxiliary method after PCI. However, the compliance of patients with cardiac rehabilitation after PCI is not good, among which kinesophobia is an important influencing factor.
DESIGN
A descriptive cross-sectional design was implemented, and the high-quality reporting of the study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology Statement.
METHODS
In total, 351 inpatients who underwent PCI in three tertiary grade-A hospitals in China were selected by convenient sampling method. We use one-way ANOVA and multiple linear regression analysis to determine the relevant related factors.
RESULTS
The kinesophobia of patients after PCI was negatively correlated with chronic illness resource utilization and sense of personal mastery, and positively correlated with illness perception. Education level, clinical classification of CHD, exercise habits, chronic illness resource utilization, illness perception and sense of personal mastery entered the regression equation, which could explain 78.1% of the total variation.
CONCLUSION
The level of kinesiophobia of patients after PCI is high. Education level, clinical classification of CHD, exercise habits, chronic illness resource utilization, illness perception and sense of personal mastery are the related factors of kinesiophobia of patients after PCI.
RELEVANCE TO CLINICAL PRACTICE
By reducing the level of exercise fear of patients after PCI, patients are more likely to accept and adhere to the cardiac rehabilitation plan, thus improving their prognosis and improving their quality of life.
PATIENT OR PUBLIC CONTRIBUTION
The patient underwent PCI in the research hospital. Researchers screen them according to the inclusion criteria and invite them to participate in this study. If they meet the requirements, participants will answer the research questionnaire face to face after signing the informed consent form.
目的
探讨经皮冠状动脉介入治疗(PCI)后患者的术后运动恐惧及其相关因素。
背景
经皮冠状动脉介入治疗是治疗冠心病(CHD)的有效方法,心脏康复是 PCI 后的重要辅助方法。然而,PCI 后患者对心脏康复的依从性并不理想,其中运动恐惧是一个重要的影响因素。
设计
采用描述性横断面设计,研究报告遵循《观察性研究的报告质量加强:流行病学声明》。
方法
采用便利抽样法,选取中国 3 家三级甲等医院 351 例 PCI 住院患者。采用单因素方差分析和多元线性回归分析确定相关的相关因素。
结果
PCI 后患者的运动恐惧与慢性病资源利用和个人掌控感呈负相关,与疾病感知呈正相关。教育程度、CHD 临床分类、运动习惯、慢性病资源利用、疾病感知和个人掌控感进入回归方程,可解释总变异的 78.1%。
结论
PCI 后患者的运动恐惧水平较高。教育程度、CHD 临床分类、运动习惯、慢性病资源利用、疾病感知和个人掌控感是 PCI 后患者运动恐惧的相关因素。
临床意义
通过降低 PCI 后患者的运动恐惧水平,患者更有可能接受并坚持心脏康复计划,从而改善预后,提高生活质量。
患者或公众贡献
患者在研究医院接受 PCI。研究人员根据纳入标准对他们进行筛选,并邀请他们参加这项研究。如果符合要求,参与者将在签署知情同意书后面对面回答研究问卷。