University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
Scand Cardiovasc J. 2024 Dec;58(1):2393311. doi: 10.1080/14017431.2024.2393311. Epub 2024 Aug 19.
After cardiac surgery, there may be barriers to being physically active. Patients are encouraged to gradually increase physical activity, but limited knowledge exists regarding postoperative physical activity levels. This study aimed to assess patient-reported physical activity six months after cardiac surgery, determine adherence to WHO's physical activity recommendations, and explore potential relationships between pain, dyspnea, fear of movement, and activity levels.
The study design was a cross-sectional study at Örebro University Hospital, Sweden. Preoperative and surgical data were retrieved from medical records and questionnaires concerning physical activity (Frändin-Grimby Activity Scale, the Physical activity Likert-scale Haskell, Patient-Specific Functional Scale, and Exercise Self-efficacy Scale) were completed six months after surgery. Data were collected on pain, dyspnea, general health status and kinesiophobia i.e. fear of movement, using the Tampa Scale of Kinesiophobia Heart.
In total, 71 patients (68 ± 11 years, males 82%) participated in this study. Most patients (76%) reported a light to moderate activity level (Frändin-Grimby levels 3-4) six months after cardiac surgery. In total, 42% of the patients adhered to the WHO's physical activity recommendations (150 min/week). Pain and dyspnea were low. Patients with lower activity levels exhibited significantly higher levels of fear of movement ( =.025).
The majority of patients reported engaging in light to moderate activity levels six months after cardiac surgery. Despite this, less than half of the patients met the WHO's physical activity recommendations. Potential barriers to physical activity such as pain, dyspnea and fear of movement were reported to be low.
心脏手术后可能存在身体活动的障碍。鼓励患者逐渐增加身体活动量，但术后身体活动水平的相关知识有限。本研究旨在评估心脏手术后 6 个月患者报告的身体活动情况，确定其对世界卫生组织（WHO）身体活动建议的依从性，并探讨疼痛、呼吸困难、运动恐惧与活动水平之间的潜在关系。
这是一项在瑞典厄勒布鲁大学医院进行的横断面研究。从病历中检索了术前和手术数据，并在术后 6 个月完成了与身体活动相关的问卷调查（Frändin-Grimby 活动量表、物理活动李克特量表 Haskell、患者特定功能量表和运动自我效能量表）。使用 Tampa 运动恐惧量表（Tampa Scale of Kinesiophobia Heart）收集疼痛、呼吸困难、一般健康状况和运动恐惧（即运动恐惧）的数据。
共有 71 名患者（68±11 岁，男性占 82%）参与了本研究。大多数患者（76%）报告心脏手术后 6 个月身体活动水平为轻至中度（Frändin-Grimby 水平 3-4）。总的来说，42%的患者符合 WHO 的身体活动建议（每周 150 分钟）。疼痛和呼吸困难程度较低。活动水平较低的患者运动恐惧水平显著较高（p=.025）。
大多数患者报告心脏手术后 6 个月身体活动水平为轻至中度。尽管如此，仍有不到一半的患者符合 WHO 的身体活动建议。报告的身体活动的潜在障碍，如疼痛、呼吸困难和运动恐惧程度较低。
