Atta Mohamed Hussein Ramadan, Elsayed Shimmaa Mohamed, Shurafi Sharaf Omar Al, Eweida Rasha Salah
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria City, Egypt.
Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Damnhour University, Damnhour City, Egypt.
BMC Nurs. 2024 Apr 10;23(1):238. doi: 10.1186/s12912-024-01875-3.
Kinesiophobia could act as a significant barrier against physical activity following cardiac procedures worsening cardiovascular health problems and potentially leading to conditions like hospital-acquired anxiety and depression among patients with cardiovascular disease (CVD). Nurses are the vanguard health care team who can aid patients in taking proactive steps to overcome fear of movement following cardiac procedures.
The overarching aim is to investigate the relationship between kinesiophobia, anxiety and depression, and patients' perception of nursing care.
A descriptive correlational research design in two rural hospitals, conducted at cardiac intensive care units of Kafr Eldawar Hospital and Damanhur Medical National Institute. Data were collected from 265 nurses, using the following patient-reported outcome measures, the Tampa Scale for Kinesiophobia (TSK), the Hospital Anxiety and Depression Scale (HADS), the Person-Centered Critical Care Nursing Questionnaire (PCCNP) and the patients' demographic and clinical profile.
A significant negative correlation was found between HADS and PCCNP (r: -0.510, p < 0.001) however, Kinesiophobia was significantly and positively correlated (r: 0.271, p < 0.001). A direct effect of PCCNP in the presence of the mediator was found to be not statistically significant (-0.015, CR = 0.302, p = 0.763). Nonetheless, PCCNP indirectly affects kinesiophobia through HADS (p=-0.099).
Customizing individualized cardiac rehabilitation (CR) programs based on the emotional experience of cardiac patients will be conducive to rehabilitation and prognosis for patients, thereby lessening the physical burden and improving their quality of life.
运动恐惧可能成为心脏手术后身体活动的重大障碍，加剧心血管健康问题，并可能导致心血管疾病（CVD）患者出现医院获得性焦虑和抑郁等情况。护士是医疗保健团队的先锋，能够帮助患者积极采取措施克服心脏手术后对运动的恐惧。
总体目标是调查运动恐惧、焦虑和抑郁与患者对护理的认知之间的关系。
在卡夫尔·埃尔达瓦尔医院和达曼胡尔国立医学研究所的心脏重症监护病房进行的一项描述性相关性研究设计，涉及两家农村医院。使用以下患者报告结局指标从265名护士中收集数据：坦帕运动恐惧量表（TSK）、医院焦虑抑郁量表（HADS）、以患者为中心的重症护理问卷（PCCNP）以及患者的人口统计学和临床资料。
发现HADS与PCCNP之间存在显著负相关（r：-0.510，p < 0.001），然而，运动恐惧与之呈显著正相关（r：0.271，p < 0.001）。发现PCCNP在存在中介变量的情况下的直接效应无统计学意义（-0.015，CR = 0.302，p = 0.763）。尽管如此，PCCNP通过HADS间接影响运动恐惧（p = -0.099）。
根据心脏病患者的情感体验定制个性化的心脏康复（CR）计划将有助于患者的康复和预后，从而减轻身体负担并提高他们的生活质量。
