冠心病患者经皮冠状动脉介入治疗术后运动恐惧现状及影响因素分析

Current situation and influencing factors of kinesiophobia in patients with coronary heart disease after PCI

目的探讨冠心病患者经皮冠状动脉介入治疗(PCI)术后运动恐惧现况并分析其影响因素。方法采用便利抽样法,选取231例PCI术后患者为研究对象,采取自我报告形式调查患者社会人口学、心脏病运动恐惧、运动自我效能、自我感受负担等信息。结果PCI术后患者运动恐惧总得分为(38.1±6.1)分,多元线性回归结果显示,患者对PCI术了解程度、支架个数、运动自我效能、自我感受负担是影响运动恐惧的主要影响因素(P<0.05),可解释运动恐惧水平38.7%的变异量。结论PCI术后患者运动恐惧处于较高水平,可通过构建个性化的心理干预和知识培训,以激发患者的运动自我效能,提高其疾病知识及心理调适水平,从而促进患者的运动康复。

Objective To investigate the status of kinesiophobia in patients with coronary heart disease after percutaneous transluminal coronary intervention(PCI)and analyze its influencing factors.Methods A total of 231 patients after PCI were selected as subjects by convenience sampling,and the information of sociodemographic,heart disease,exercise fear,exercise self-efficacy,self-perceived burden and so on were investigated by self-report.Results The total score of exercise fear after PCI was(38.1±6.1).The results of multiple linear regression showed that patients′understanding of PCI,number of stents,exercise self-efficacy and self-perceived burden were the main influencing factors(P<0.05),which could explain 38.7%variation of exercise fear level.Conclusion The kinesiophobia in patients after PCI is at a high level.Individualized psychological intervention and knowledge training can be constructed to stimulate the exercise self-efficacy of patients,improve their disease knowledge and psychological adjustment level,so as to promote the exercise rehabilitation of patients.