摘要
目的探究冠心病患者家庭心脏康复运动依从性的影响因素。方法采用质性研究方法,通过方便抽样,选取2020年12月至2021年4月北京大学第三医院和海淀区学院路社区卫生服务中心、朝阳区孙河社区卫生服务中心20名冠心病患者和6名医务人员进行半结构式访谈。基于计划行为理论,采用主题框架法进行编码。结果在计划行为理论基础上进行补充,提炼得到影响运动依从性的5个主题:态度、主观规范、知觉行为控制、运动计划和自我调节。对运动的态度较积极、感受到充足的社会支持、有信心能坚持运动、会制定规律的运动计划并进行适当自我调节的患者运动依从性会更好。结论冠心病患者家庭心脏康复的运动依从性受多种因素影响。临床工作者应从普及康复观念、探索康复模式和完善康复服务等方面提高患者的运动依从性。
Objective To explore the influencing factors of exercise adherence of home-based cardiac rehabilitation in patients with coronary artery disease(CAD).Method Informants were recruited from Peking University Third Hospital and Community Health Service Center of Xueyuan Road in Haidian District,Community Health Service Center of Sunhe in Chaoyang District from December,2020 to April,2021 by convenience sampling method.Qualitative research methods were applied.Semi-structured individual interviews were conducted among 20 CAD patients and 6 medical staffs.Based on the theory of planned behavior,thematic framework analysis was used to perform the coding.Result Adding to the theory of planned behavior,five themes that influencing exercise adherence were extracted:attitude,subjective norm,perceived behavior control,exercise planning,and self-regulation.Patients with positive attitude towards exercise,sufficient social support,confident to persist in exercising,regular exercise plans and appropriate self-regulation had good exercise adherence.Conclusion The exercise adherence of CAD patients in home-based cardiac rehabilitation is affected by many factors.To improve exercise adherence,clinicians should popularize the concept and explore the mode of cardiac rehabilitation,and provide comprehensive service.
作者
郭雯
周婷
张宜竹
褚红玲
高炜
赵威
Guo Wen;Zhou Ting;Zhang Yizhu;Chu Hongling;Gao Wei;Zhao Wei(Institute of Medical Technology,Peking University Health Science Center,Beijing 100191,China;Department of Medical Psychology,The School of Health Humanities,Peking University,Beijing 100191,China;The School of Nursing,Peking University,Beijing 100191,China;Clinical Epidemiology Research Center,Peking University Third Hospital,Beijing 100191,China;Department of Cardiology and Institute of Vascular Medicine,Peking University Third Hospital,NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides,Key Laboratory of Molecular Cardiovascular Science,Ministry of Education,Beijing Key Laboratory of Cardiovascular Receptors Research,Beijing 100191,China)
出处
《中国医学前沿杂志（电子版）》
2022年第5期15-20,共6页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
国家自然科学基金青年基金(81601968)
北京大学第三医院青年孵育基金(BYSYFY2021013)
北京大学第三医院院临床重点项目(BYSYZD2021008)。
关键词
冠心病
家庭心脏康复
运动依从性
Coronary artery disease
Home-based cardiac rehabilitation
Exercise adherence
