Ding Li, Li Cong, Chen Lu, Huang Pei-Yu, Bian Fei-Fei
Emergency Ward, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu, 225300, People's Republic of China.
Department of Surgical, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu, 225300, People's Republic of China.
Patient Prefer Adherence. 2024 Sep 25;18:2007-2017. doi: 10.2147/PPA.S481855. eCollection 2024.
The objective of this study is to systematically explore and summarize the best evidence on intervention programs for patients with kinesophobia following percutaneous coronary intervention (PCI) to provide a comprehensive reference for clinical practice interventions.
Evidence on interventions for kinesophobia post-PCI was retrieved from Chinese and international integrated databases, treatment guidelines, and websites of professional associations, including systematic reviews and expert consensuses. The evidence considered in this study extends up to May 2022, encompassing information available since the inception of the databases. Two researchers independently evaluated the articles included in the review and extracted and summarized the available evidence.
By extracting and integrating data from the 14 articles included in this review, we identified six categories: pre-intervention assessment, psychological intervention, health education, rehabilitation training, social support, and quality control. A total of 21 pieces of evidence were summarized, including mental health assessment, physical fitness evaluation, timing and content of health education, development of personalized exercise prescriptions, and risk control.
In clinical settings, using evidence-based practices requires developing feasible intervention programs based on comprehensive consideration of hospital resources, allocation of medical personnel, and consideration of patients' preferences to reduce the kinesophobia of patients post-PCI and improve their compliance with exercise rehabilitation.
本研究旨在系统探索和总结经皮冠状动脉介入治疗（PCI）后运动恐惧患者干预方案的最佳证据，为临床实践干预提供全面参考。
从中国和国际综合数据库、治疗指南以及专业协会网站检索PCI后运动恐惧干预的证据，包括系统评价和专家共识。本研究纳入的证据截至2022年5月，涵盖数据库建立以来的可用信息。两名研究人员独立评估纳入综述的文章，提取并总结可用证据。
通过提取和整合本综述纳入的14篇文章的数据，我们确定了六个类别：干预前评估、心理干预、健康教育、康复训练、社会支持和质量控制。共总结出21条证据，包括心理健康评估、体能评估、健康教育的时机和内容、个性化运动处方的制定以及风险控制。
在临床环境中，采用循证实践需要基于对医院资源、医务人员配置的综合考虑以及患者偏好的考量，制定可行的干预方案，以减轻PCI后患者的运动恐惧，提高其运动康复依从性。
