He Mengyu, Zhou Jing, Wang Yu, Chen Zhenyue, Wang Feng
The First Affiliated Hospital of Bengbu Medical University, Bengbu Anhui, People's Republic of China.
Bengbu Medical University School of Nursing, Bengbu Anhui, People's Republic of China.
BMJ Open. 2025 Apr 29;15(4):e083220. doi: 10.1136/bmjopen-2023-083220.
To analyse the current state of kinesiophobia, self-perceived burden and self-efficacy in patients with coronary heart disease (CHD) following percutaneous coronary intervention (PCI). In addition, to study the mediating effect of self-efficacy between self-perceived burden and kinesiophobia.
Cross-sectional study.
A tertiary-level hospital in Anhui Province, China.
We recruited a total of 255 patients for this study. The eligible subjects were patients diagnosed with coronary artery disease who underwent successful transradial PCI. The exclusion criteria included patients who had both diseases affecting their exercise ability and severe psychiatric disorders.
We used questionnaires consisting of the Self-Efficacy Scale for Chronic Disease (SESC), the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Self-Perceived Burden Scale (SBPS) and a general information data sheet to obtain participant information. SPSS Bootstrap was used for mediated effects analysis.
The total patient score for kinesiophobia, self-perceived burden and self-efficacy was 42.96±5.00, 24.36±7.84 and 7.61±1.46, respectively. Kinesiophobia was negatively and positively associated with self-efficacy (=-0.368, p<0.01) and self-perceived burden (=0.271, p<0.01), respectively. The mediating effect of self-efficacy between self-perceived burden and kinesiophobia in patients was 0.046 (95% CI 0.018 to 0.081), accounting for 26.59% of the total effect.
Self-efficacy partially mediates self-perceived burden and kinesiophobia in patients. The medical staff of facilities should strengthen the evaluation and monitoring of patients' self-efficacy and self-perceived burden and conduct intervention measures to reduce their kinesiophobia.
分析经皮冠状动脉介入治疗（PCI）后冠心病（CHD）患者的运动恐惧、自我感知负担和自我效能感的现状。此外，研究自我效能感在自我感知负担和运动恐惧之间的中介作用。
横断面研究。
中国安徽省的一家三级医院。
本研究共招募了255名患者。符合条件的受试者为被诊断患有冠状动脉疾病且经桡动脉PCI手术成功的患者。排除标准包括患有影响运动能力的两种疾病的患者以及严重精神障碍患者。
我们使用由慢性病自我效能量表（SESC）、坦帕运动恐惧量表心脏版（TSK-SV Heart）、自我感知负担量表（SBPS）和一份一般信息数据表组成的问卷来获取参与者信息。采用SPSS Bootstrap进行中介效应分析。
患者运动恐惧、自我感知负担和自我效能感的总得分分别为42.96±5.00、24.36±7.84和7.61±1.46。运动恐惧分别与自我效能感（=-0.368，p<0.01）和自我感知负担（=0.271，p<0.01）呈负相关和正相关。自我效能感在患者自我感知负担和运动恐惧之间的中介效应为0.046（95%CI 0.018至0.081），占总效应的26.59%。
自我效能感在患者自我感知负担和运动恐惧之间起部分中介作用。医疗机构的医务人员应加强对患者自我效能感和自我感知负担的评估与监测，并采取干预措施以减轻他们的运动恐惧。
