PCI术后患者运动恐惧潜在剖面分析及与体力活动的关系

Latent profiles of kinesiophobia and their relationships with physical activity among patients after percutaneous coronary intervention

目的调查PCI术后患者运动恐惧现况,探讨运动恐惧潜在类别及其与体力活动水平的关系。方法采用便利抽样法选取328例PCI术后患者,采用一般资料调查表、心脏病运动恐惧量表、国际体力活动问卷进行调查。通过潜在剖面分析明确患者的运动恐惧类别,有序logistic回归分析体力活动水平的影响因素。结果PCI术后患者运动恐惧得分为(40.74±5.40)分,运动恐惧可分为低恐惧-适应型(15.2%)、中恐惧-边缘型(50.6%)和高恐惧-回避型(34.2%)。职业状态、心功能分级、患病前运动锻炼情况、运动恐惧类别是体力活动分级的影响因素(均P<0.05)。结论PCI术后患者运动恐惧具有异质性,运动恐惧类别是体力活动的影响因素,医护人员可针对运动恐惧类别采取针对性干预措施,提高患者体力活动水平。

Objective To investigate the level of kinesiophobia among patients after percutaneous coronary intervention(PCI)and to explore the latent profiles of kinesiophobia and their relationships with physical activity.Methods A total of 328 patients after PCI were selected using convenience sampling method and were asked to complete a general information questionnaire,the Tampa Scale for Kinesiophobia Heart,and the International Physical Activity Questionnaire.Latent profile analysis was performed to identify potential profiles and ordinal logistic regression was used to determine the factors influencing physical activity.Results The sample scored 40.74±5.40 on kinesiophobia.Latent profile analysis revealed three distinct groups:low kinesiophobia-high adaptive(15.2%),medium kinesiophobia-borderline(50.6%)and high kinesiophobia-avoidance(34.2%).The work or retirement statuses,NYHA heart function grade,physical exercise behavior before the surgery and profiles of kinesiophobia were factors affecting physical activity grade(all P<0.05).Conclusion There are possible heterogeneous nature of kinesiophobia among patients after PCI and the profiles of kinesiophobia affect physical activity.Our findings underscore the importance of designing and implementing interventions by profiles of the patients in promoting physical activity behavior.