首页|冠心病经皮冠状动脉介入治疗术后患者运动恐惧与运动依从性的关系研究

冠心病经皮冠状动脉介入治疗术后患者运动恐惧与运动依从性的关系研究

Study on the relationship between kinesophobia and exercise rehabilitation adherence in patients with coronary heart disease after percutaneous coronary intervention

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目的 了解冠心病经皮冠状动脉介入治疗(PCI)术后患者运动恐惧、运动依从性与护理支持的现状,并分析三者间的关系.方法 采用便利抽样法选取2022年11月-2023年4月陕西省西安市某三级甲等医院241例冠心病住院患者为研究对象.使用一般资料调查表、心脏病患者运动恐惧量表、冠心病PCI术后患者赋权护理评价量表、运动依从性量表进行调查.结果 冠心病PCI术后患者运动恐惧量表总得分为38(35,41)分,运动依从性量表总得分为1(1,2)分,护理支持量表总得分为64.5(61,69)分;运动依从性与护理支持呈正相关,运动恐惧与护理支持呈负相关,运动恐惧与运动依从性呈负相关(P<0.05);护理支持在运动恐惧与运动依从性之间存在中介效应,其中介效应占总效应的30%.结论 冠心病PCI术后患者运动恐惧处于中等水平,护理支持与运动依从性均处于低水平,护理支持在运动恐惧和运动依从性中起部分中介作用.医护人员应加强对冠心病PCI术后患者运动恐惧的关注与评估,及时开展相应的护理支持,以提高患者心脏康复运动依从性,增强术后康复效果.
Objective To understand the status of kinesophobia,exercise rehabilitation adherence,and nursing support in patients with coronary heart disease after percutaneous coronary intervention(PCI),and to analyze the correlation among the three.Methods A total of 236 inpatients with coronary heart disease from November 2022 to April 2023 in a Grade A hospital in Xian,Shaanxi province were selected by convenience sampling method.General data questionnaire,the Chinese version of the Tampa Scale for Kinesiophobia Heart,the CHD Post-PCI Patient Em-powerment Nursing Evaluation Scale,and Exercise Rehabilitation Adherence Scale were used to investigate.Results The total score of the Kinesophobia Scale were 38(35,41)points,The total score of the Nursing Support Scale were 64.5(61,69)points,The total score of the Exercise Rehabilitation Adherence Scale were 1(1,2)points.Exercise rehabilitation adherence was positively correlated with nursing support,kinesophobia was negatively correlated with nursing support,kinesophobia was negatively correlated with exercise rehabilitation adherence(P<0.05).Nursing support had mediating effect between kinesophobia and exercise rehabilitation adherence,and the mediating effect ac-counted for 30%of the total effect.Conclusion The kinesophobia of patients with coronary heart disease after PCI is at a medium level,while nursing support and exercise rehabilitation adherence are at a low level.Nursing support plays a partial mediating role between kinesophobia and exercise rehabilitation adherence.The medical staff should pay more attention to and evaluate the kinesophobia of patients with coronary heart disease after PCI,and carry out the corresponding nursing support in time,so as to improve the compliance of patients with cardiac rehabilitation ex-ercise and enhance the postoperative rehabilitation effect.

coronary heart diseasepercutaneous coronary interventionkinesophobiaexercise compli-ancenursing support

汤逸蘋、李洁琼、张蜜、刘璇璇、刘盈盈、高雅、游宁、刘婷

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陕西中医药大学护理学院,陕西咸阳 712046

西安交通大学第一附属医院,陕西西安 710061

延安大学医学院,陕西延安 716000

冠心病 经皮冠状动脉介入治疗 运动恐惧 运动依从性 护理支持

国家卫生健康委人才交流服务中心项目陕西省科技计划项目

RCLX22200292023-YBSF-591

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(3)
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