疼痛灾难化、心因性焦虑在急性冠状动脉综合征患者疼痛与运动恐惧间的链式中介效应
The chain mediating effect of pain catastrophizing and psychogenic anxiety between pain and kinesiophobia in patients with a-cute coronary syndrome
王颖颖 1张静 1孙玉静 2白银洁 1徐黄菲1
作者信息
- 1. 150000,哈尔滨市,哈尔滨医科大学附属第四医院护理教研室
- 2. 163000,大庆市,哈尔滨医科大学大庆校区护理学院
- 折叠
摘要
目的 探讨急性冠状动脉综合征患者运动恐惧的影响因素及其作用路径,为进一步制订心脏康复运动干预方案提供理论依据.方法 采用便利抽样法,于 2022 年 7 月至 2023 年 2 月选取哈尔滨市某三级甲等医院的 302 例急性冠状动脉综合征患者为研究对象,运用一般资料调查表、疼痛程度数字评分表、疼痛灾难化量表、心脏焦虑问卷及心脏病患者运动恐惧量表进行问卷调查.结果 急性冠状动脉综合征患者疼痛、疼痛灾难化、心因性焦虑和运动恐惧得分分别为(5.44±2.31)分、(24.20±9.29)分、(33.20±8.19)分和(46.10±6.14)分,且两两呈正相关(P＜0.01);疼痛、疼痛灾难化和心因性焦虑是患者运动恐惧的影响因素(P＜0.05);中介效应分析结果显示,疼痛灾难化和心因性焦虑在急性冠状动脉综合征患者疼痛与运动恐惧间发挥链式中介效应,占总间接效应的 62.15%.结论 急性冠状动脉综合征患者运动恐惧处于较高水平,疼痛灾难化、心因性焦虑在疼痛与运动恐惧间发挥链式中介效应,因此医护人员应关注患者认知和心理变化,降低二者的不良影响,进而缓解患者运动恐惧.
Abstract
Objective To explore the influencing factors and action path of kinesiophobia in patients with acute coronary syndrome,and to provide theoretical basis for further development of cardiac rehabilitation exercise intervention program.Methods From July 2022 to February 2023,302 patients with acute coronary syndrome in a tertiary class A hospital in Harbin were selected as the research objects by convenient sampling method.The general data questionnaire,Numeric Rating Scale,Pain Catastrophizing Scale,Cardiac Anxiety Questionnaire and the Tampa Scale for Kinesiophobia Heart were used for questionnaire survey.Results The scores of pain,pain catastrophizing,psychogen-ic anxiety and kinesiophobia in patients with acute coronary syndrome were(5.44±2.31),(24.20±9.29),(33.20±8.19)and(46.10±6.14),re-spectively,and were positively correlated in pairs(P＜0.01).Pain,pain catastrophizing and psychogenic anxiety were the influencing factors of patients'kinesiophobia(P＜0.05).The results of mediating effect analysis showed that pain catastrophizing and psychogenic anxiety played a chain mediating effect between pain and kinesiophobia in patients with acute coronary syndrome,accounting for 62.15%of the total indirect effect.Conclusion The kinesiophobia of patients with acute coronary syndrome is at a high level.Pain catastrophizing and psychogenic anxie-ty play a chain mediating effect between pain and kinesiophobia.Therefore,medical and nursing staff should pay attention to the cognitive and psychological changes of patients,reduce their adverse effects,thereby alleviating the kinesiophobia.
关键词
急性冠状动脉综合征/运动恐惧/疼痛灾难化/心因性焦虑/链式中介效应Key words
acute coronary syndrome/kinesiophobia/pain catastrophizing/psychosomatic anxiety/chain mediation model引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据