Xiang Qin, Xiong Xiao-Yun, Zhang Mei-Jun, Liu Si, Chen Hua, Liu Meng-Die, Wang Ying, Yang Ying
Department of Nursing, The 2nd Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, China.
Front Psychol. 2024 Jul 31;15:1395199. doi: 10.3389/fpsyg.2024.1395199. eCollection 2024.
Kinesiophobia denotes an excessive and irrational apprehension towards physical activity or exercise among patients, stemming from a perception of susceptibility to painful injury or re-injury. Cardiac rehabilitation stands pivotal in the secondary prevention spectrum for individuals with cardiovascular ailments, with exercise constituting a cornerstone of this regimen. However, the emergence of kinesiophobia poses a formidable challenge, diminishing patient adherence to cardiac rehabilitation protocols, particularly among those grappling with chronic heart failure. To bolster exercise-based rehabilitation initiatives in this cohort, a thorough comprehension of the multifaceted factors precipitating kinesiophobia is imperative. This review endeavors to delineate prevailing evidence and prevalence concerning kinesiophobia triggers in chronic heart failure patients, while pinpointing research lacunae for future exploration.
Employing a scoping review methodology, our investigation culled data from diverse scholarly databases, including Embase, PubMed, Scopus, CINAHL, Web of Science, Medline, Sinomed, CNKI, Wangfan, and VIP.
After thorough evaluation, 9 studies that met the inclusion criteria were ultimately incorporated.
Our findings underscore a notable prevalence of kinesiophobia in chronic heart failure patients, predominantly influenced by socio-demographic factors, psychological and cognitive factors, disease and treatment factors, as well as lifestyle and behavior. Armed with these insights, future interventions can be tailored to mitigate kinesiophobia levels, fostering enhanced engagement in exercise-centric cardiac rehabilitation endeavors among patients grappling with chronic heart failure.
运动恐惧是指患者对身体活动或锻炼存在过度且不合理的担忧，这种担忧源于他们认为自己容易遭受疼痛性损伤或再次受伤。心脏康复在心血管疾病患者的二级预防中起着关键作用，运动是该治疗方案的基石。然而，运动恐惧的出现构成了一项严峻挑战，降低了患者对心脏康复方案的依从性，尤其是在那些患有慢性心力衰竭的患者中。为了加强这一人群中基于运动的康复措施，必须全面了解引发运动恐惧的多方面因素。本综述旨在阐述慢性心力衰竭患者运动恐惧触发因素的现有证据和患病率，同时指出未来探索的研究空白。
我们采用范围综述方法，从多个学术数据库中筛选数据，包括Embase、PubMed、Scopus、CINAHL、Web of Science、Medline、中国生物医学文献数据库、中国知网、万方数据和维普资讯。
经过全面评估，最终纳入了9项符合纳入标准的研究。
我们的研究结果强调，运动恐惧在慢性心力衰竭患者中显著存在，主要受社会人口学因素、心理和认知因素、疾病和治疗因素以及生活方式和行为的影响。基于这些见解，未来的干预措施可以进行调整，以降低运动恐惧水平，促进慢性心力衰竭患者更积极地参与以运动为中心的心脏康复活动。
