Analysis of compliance with rehabilitation training and influencing factors in patients with coronary heart disease after PCI
Objective To analyze the status of compliance with rehabilitation training among patients with coronary heart disease after percutaneous coronary intervention(PCI)and influencing factors.Methods A total of 1,067 patients with coronary heart disease who received PCI at Yuncheng Central Hospital were selected between January 2022 and January 2024.They were divided into the good compliance group and the poor compliance group according to the status of compliance with rehabilitation training.Disease perception score,fear of exercise score and clinical data of the two groups were compared.Results A total of 1,067 questionnaires were distributed,and 994 were effectively collected.Among the 994 patients with coronary heart disease who underwent PCI,366 patients had good compliance with rehabilitation training and 628 patients had poor compliance.The scores for cognitive domain,emotional domain and comprehension in the disease perception questionnaire,and total score of the poor compliance group were higher than those of the good compliance group(P＜0.05).The scores for avoiding exercise,fear of injury,function decline and perceived cardiac risk in the fear of exercise scale,and total score of the poor compliance group were higher than those of the good compliance group(P＜0.05).Logistic analysis results showed that high disease perception score,high fear of exercise score,education level of primary school or below,and living alone were independent influencing factors for poor compliance with postoperative rehabilitation training among patients with coronary heart disease(P＜0.05).Conclusion Patients with coronary heart disease have relatively low compliance with rehabilitation training after PCI.Intervention from perspectives of disease perception and fear of exercise can help to improve their compliance with rehabilitation training.
Coronary heart diseasePercutaneous coronary interventionCompliance with rehabilitation trainingDisease perceptionFear of exercise
万方数据
维普
