冠状动脉搭桥术后患者运动恐惧的影响因素分析

Analysis of influencing factors of exercise fear in patients after coronary artery bypass grafting

目的:分析冠状动脉搭桥术后患者运动恐惧的影响因素。方法:选取2022年5月—2023年5月蚌埠医科大学第一附属医院行冠状动脉搭桥术后患者152例,根据中文版心脏疾病运动恐惧量表结果分为运动恐惧组和非运动恐惧组。收集两组临床资料,对患者术后运动恐惧可能的影响因素进行单因素和多因素Logistic回归分析;针对可能的影响因素采取相应的干预对策。结果:152例冠状动脉搭桥术后患者运动恐惧量表总分(37.30±3.57)分,维度得分排在前2位的为运动回避及运动恐惧;其中29例患者确诊术后运动恐惧,发生率为19.08%。单因素分析结果显示,运动恐惧组对疾病了解程度(一般/不了解)、病程及患者自我感受负担评分高于非运动恐惧组(P<0.05),运动自我效能评分低于非运动恐惧组(P<0.05);多因素分析结果显示,对疾病了解程度、病程、运动自我效能、患者自我感受负担为冠状动脉搭桥术后患者运动恐惧发生的影响因素(P<0.05)。结论:冠状动脉搭桥术后患者运动恐惧发生率较高,与对疾病了解程度、病程、运动自我效能及患者自我感受负担有关,应强化冠状动脉搭桥相关知识宣教,提高患者运动效能,减轻自我感受负担,降低术后运动恐惧发生率。

Objective To analyze the influencing factors of the occurrence of exercise fear in patients after coronary artery bypass grafting.Methods A total of 152 patients who underwent coronary artery bypass grafting surgery in the First Affiliated Hospital of Bengbu Medical University from May 2022 to May 2023 were selected.All patients were surveyed using the Heart Exercise Fear Scale after surgery,and were divided into exercise fear group and non exercise fear group based on the survey results.Review two sets of clinical data and conduct univariate and multivariate logistic regression analysis on the possible influencing factors of postoperative exercise fear in patients;Take corresponding intervention measures to address the possible influencing factors mentioned above.Results The total score of the scale was(37.30±3.57),the top two dimensions of the motor fear scale were motor avoidance and motor fear in 152 patients after coronary artery bypass grafting;among the enrolled patients,29 patients were diagnosed with postoperative motor fear,with an incidence rate of 19.08%.The univariate results showed that the exercise fear group had a higher level of understanding(general/unknown)of the disease,disease course,and patient's self perceived burden score than the non exercise fear group(P<0.05);The self-efficacy score of exercise was lower than that of the non exercise fear group(P<0.05);Multivariate results showed that the degree of disease understanding,course,exercise self-efficacy,and patient self perceived burden were all independent influencing factors for the occurrence of exercise fear in patients after coronary artery bypass grafting(P<0.05).Conclusions The incidence of exercise fear in patients after coronary artery bypass grafting is relatively high,which is related to their understanding of the disease,disease course,exercise self-efficacy,and patient self perceived burden.It is necessary to strengthen the education of coronary artery bypass grafting related knowledge,improve patient exercise efficiency,reduce self perceived recurrence,and reduce the incidence of postoperative exercise fear.