目的 系统评价心血管病患者运动恐惧心理体验,为促进患者参与心脏康复提供参考。方法 检索PubMed、CI-NAHL、Web of Science、PsycINFO、Cochrane Library、知网、万方、维普等数据库关于心血管病患者运动恐惧心理体验的质性研究。检索时限为建库至2022年12月25日。采用汇集性整合进行Meta整合。结果 共纳入15篇文献,提炼出33个研究结果,归纳为11个类别,综合成4个整合结果:恐惧担忧;应对不良;知识缺乏和信息冲突;渴望支持需求。结论 心血管病患者运动恐惧心理普遍存在,问题突出;应加强关注,提供全方面支持,促进患者积极应对。
Qualitative Research on Psychological Experience of Kinesiophobia in Cardiovascular Disease Patients:A Meta-synthesis
Objective To systematically review qualitative studies on the psychological experience of kinesiophobia in pa-tients with cardiovascular disease,so as to provide reference for promoting their participation in cardiac rehabilitation.Methods Databases including PubMed,CINAHL,Web of Science,PsycINFO,Cochrane Library,CNKI,Wanfang and VIP were searched from the inception to 25 December 2022,to collect qualitative studies on the psychological experience of kinesiophobia in patients with CVD,and the results were integrated using meta-synthesis.Results A total of 15 articles were collected,33 themes extracted and classified into 11 categories,and 4 themes integrated:fear and worry,poor response,lack of knowledge and contradictory information,and desires for support.Conclusions Kinesiophobia is prevalent and problematic in these pa-tients.Attention should be given to provide all-round support to promote their positive coping.