急性心肌梗死PCI术后恐动症的影响因素及护理对策

Influencing Factors and Nursing Strategies of Kinetophobia After PCI in Acute Myocardial Infarction

目的探讨急性心肌梗死(AMI)经皮冠脉介入术(PCI)后恐动症的影响因素,为临床及时采取护理对策提供指导。方法选择2022年1月至2024年2月在郑州大学第一附属医院心血管内科行PCI治疗的AMI患者为研究对象。根据PCI术后有无发生恐动症将患者分为发生组和未发生组,比较两组患者的临床资料,通过logistic回归分析筛选PCI术后恐动症的影响因素。结果212例AMI患者PCI术后心脏恐动症量表(TSK-SV heart)评分为(45.63±5.18)分,其中运动回避评分最高,功能紊乱评分最低,恐动症发生率为80.66%(171/212);两组患者年龄、社会支持量表(PSSS)评分、健康自我管理能力量表(HSMSRS)评分、修订版控制态度量表(CAS-R)评分、恐惧疾病进展简化量表(FoP-Q-SF)评分、创伤后应激障碍测评表(PCL-5)评分相比,差异有统计学意义(P<0.05);年龄、FoP-Q-SF评分、PCL-5评分是AMI患者PCI术后恐动症的危险因素,PSSS评分、HSMSRS评分、CAS-R评分是其保护因素(P<0.05)。结论对AMI患者PCI术后恐动症的影响因素进行分析,有利于临床及时识别恐动症高危人群,精准制定护理对策,以减轻恐动对运动康复带来的不利影响。

Objective To investigate the influencing factors of kinetophobia after percutaneous coronary intervention(PCI)for acute myocardial infarction(AMI),and to provide guidance for clinical nursing countermeasures in time.Methods AMI patients who underwent PCI in the Department of Cardiovascular Medicine of the First Affiliated Hospital of Zhengzhou University from January 2022 to February 2024 were selected as the study objects.Patients were divided into the occurrence group and the non-occurrence group according to whether or not they had experienced kinetophobia after PCI.The clinical data of patients in the two groups were compared,and the influencing factors of kinetophobia after PCI were screened through logistic regression analysis.Results The score of the Tampa scale for kinesiophobia heart(TSK-SV heart)after PCI in 212 patients with AMI was(45.63±5.18)points,in which the motor avoidance score was the highest,the dysfunction score was the lowest,and the incidence of kinetophobia was 80.66%(171/212).There were significant differences in age,perceived social support scale(PSSS)score,the rating scale of health self-management skill(HSMSRS)score,control attitudes scale-revised(CAS-R)score,fear of progression questionnaire-short form(FoP-Q-SF)score and post-traumatic stress disorder checklist for DSM-5(PCL-5)score between two groups(P<0.05).Age,FoP-Q-SF score and PCL-5 score were risk factors for AMI patients after PCI,while PSSS score,HSMSRS score and CAS-R score were protective factors(P<0.05).Conclusion The analysis of the influencing factors of kinesiophobia in AMI patients after PCI is conducive to the clinical timely identification of high-risk groups of kinesiophobia,accurate formulation of nursing countermeasures,and reduction of the adverse impact of kinesiophobia on exercise rehabilitation.