| 黎钰晴,袁丽,李静,陈名桂,张晓璇.急性心梗患者经皮冠状动脉介入术后早期恐动症现状及影响因素分析[J].中国康复,2024,39(10):611-616 |
| 急性心梗患者经皮冠状动脉介入术后早期恐动症现状及影响因素分析 |
| The status quo and influencing factors of early kinesiophobia in patients with acute myocardial infarction after PCI |
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| DOI：10.3870/zgkf.2024.10.007 |
| 中文关键词: 急性心肌梗死 经皮冠状动脉介入治疗 恐动症 影响因素 |
| 英文关键词: acute myocardial infarction percutaneous coronary intervention kinesiophobia influencing factors |
| 基金项目:广东省中医院中医药科学技术研究专项课题（YN2022HL06） |
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| 中文摘要: |
| 目的：探讨急性心肌梗死（AMI）患者经皮冠状动脉介入（PCI）术后早期恐动症现状及其影响因素，为改善患者心脏康复现状提供参考。方法：选取PCI术后AMI患者，采用一般资料调查表、心脏病患者运动恐惧量表、医院焦虑抑郁量表、多维度运动自我效能量表和锻炼社会支持量表进行调查，采用单因素分析和多元线性回归分析探讨患者的恐动症影响因素。结果：共纳入112例患者，AMI患者PCI术后恐动症得分为（43.47±3.44）分，98.2%的患者存在高水平恐动症。单因素分析结果显示，工作性质、新型冠状病毒肺炎感染史、既往手术史、运动时间、运动频率和运动强度、纽约心脏病学会（NYHA）心功能分级、左回旋支（LCX）的Proudilit冠状动脉狭窄程度分级对恐动症有显著影响（P<0.05,0.01）。多元线性回归分析结果显示，抑郁、运动自我效能、左心室舒张末期直径、运动强度是影响患者恐动症水平的重要因素（P<0.05,0.01）。结论：医护人员应重视AMI患者PCI术后恐动症的早期评估及干预，促进患者积极参与早期心脏康复。 |
| 英文摘要: |
| Objective: To investigate the level of kinesiophobia in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI) and analyze its influencing factors, in order to provide reference for improving the current status of cardiac rehabilitation. Methods: All 112 post-PCI AMI patients were collected as study subjects. The patients were investigated by using a general information questionnaire, the Tampa scale for kinesiophobia heart, hospital anxiety and depression scale, multidimensional self-efficacy for exercise scale and exercise social support scale. multiple linear regression analysis was used to explore the influencing factors of kinesiophobia. Results: The total score of kinesiophobia in 112 post-PCI AMI patients was 43.47±3.44 points, and 98.2% of them had a high level of kinesiophobia. Single factor analysis showed that job category, COVID-19 infection history, previous surgical history, duration, frequency and intensity of exercise, NYHA cardiac function classification and Proudilit coronary artery stenosis classification of the left circumflex artery were associated with kinesiophobia in post-PCI AMI patients. Multiple linear regression analysis showed that depression, self-efficacy for exercise, left ventricular end-diastolic dimension, and exercise intensity were important factors that affected the level of kinesiophobia in post-PCI AMI patients. Conclusion: Medical staff should pay attention to the early assessment and intervention of kinesiophobia in post-PCI AMI patients to promote active participation of early cardiac rehabilitation. |
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