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急性心肌梗死患者术后运动恐惧的影响因素分析

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目的 探讨急性心肌梗死患者术后运动恐惧水平现状,并分析相关影响因素.方法 选择医院 2021 年 1 月—2023 年 1 月收治的 106 例急性心肌梗死患者为调查对象,采用一般资料调查表、心脏病患者运动恐惧量表(The Tampa Scale for Kinesiophobia Heart,TSK-SV Heart)进行现状调查,采用单因素分析和多元线性回归分析影响患者运动恐惧水平的相关因素.结果 调查结果显示,急性心肌梗死患者运动恐惧总分为 46.30±6.15 分,其中各维度按照得分由高到低排序为运动回避 14.52±2.83 分、运动恐惧 12.42±2.76 分、功能紊乱 9.71±1.57 分、危险感知 9.65±1.58 分;单因素分析结果显示,年龄、职业、是否合并心衰、术后时间、主要照护者、有无合并症、疼痛评分均为影响急性心肌梗死术后患者运动恐惧的相关因素(P<0.05);多元线性回归分析显示,年龄、是否合并心衰、术后时间、主要照护者、疼痛评分为急性心肌梗死术后患者运动恐惧的影响因素(P<0.05).结论 急性心肌梗死患者术后运动恐惧水平得分高于临界值,高龄、合并心衰、术后时间短、无或主要照护者为护工、疼痛评分高的急性心肌梗死患者更易发生运动恐惧,提示临床医护人员应重视急性心肌梗死患者术后心理体验,并加强运动恐惧水平的评估,从以上因素出发制订针对性改善与管理策略,以提高急性心肌梗死患者自我效能,帮助其克服运动恐惧,从而提高康复效果.
Influencing factors analysis of postoperative motor fear in patients with acute myocardial infarction
Objective To investigate the current status of postoperative motor fear levels in patients with acute myocardial infarction and analyze related influencing factors.Methods 106 patients with acute myocardial infarction admitted to the hospital from January 2021 to January 2023 were selected as the survey subjects.The general information questionnaire and The Tampa Scale for Kinesiophobia Heart(TSK-SV Heart)were used to investigate the current status.Univariate analysis and multiple linear regression analysis were used to analyze the relevant factors affecting the level of exercise fear of patients.Results The results of the survey showed that the total score of exercise fear in patients with acute myocardial infarction was 46.30±6.15 points,the scores in each dimension were 14.52±2.83 points for exercise avoidance,12.42±2.76 points for exercise fear,9.71±1.57 points for dysfunction,and 9.65±1.58 points for risk perception.The results of the univariate analysis showed that age,occupation,combined heart failure,postoperative time,primary caregiver,comorbidity,and pain score were all relevant factors affecting exercise fear in patients with acute myocardial infarction after surgery(P<0.05).Multiple linear regression analysis showed that age,combined heart failure,postoperative time,primary caregiver,and pain score were all factors affecting exercise fear in patients with acute myocardial infarction after surgery(P<0.05).Conclusion The postoperative exercise fear score of patients with acute myocardial infarction is 46.30±6.15 points.Patients with acute myocardial infarction who are elderly,combined with heart failure,short postoperative time,no or primary caregivers are nursing workers,and have high pain scores are more prone to exercise fear.The clinical doctors and nurses should pay attention to the postoperative psychological experience of patients with acute myocardial infarction and strengthen the assessment of exercise fear level.From the above factors,targeted improvement and management strategies should be formulated to improve the self-efficacy of patients with acute myocardial infarction,help them overcome exercise fear,and improve the recovery effect.

Acute myocardial infarctionFear of exerciseHeart failurePain scoreInfluencing factorsCurrent statusSelf-efficalyRecovery effect

耿筱、刘露锦、路玉萍、王欣欣、张培培

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许昌市中心医院(河南省许昌市,461000)

急性心肌梗死 运动恐惧 心力衰竭 疼痛评分 影响因素 现状 自我能效 康复效果

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(8)
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