中华现代护理杂志2024,Vol.30Issue(24) :3273-3279.DOI:10.3760/cma.j.cn115682-20231130-02320

冠心病心绞痛患者运动恐惧体验及应对的质性研究

Qualitative study on kinesiophobia experience and coping in patients with angina pectoris of coronary heart disease

刘文君 杨巧菊 王诗雨 王笑露 王静静
中华现代护理杂志2024,Vol.30Issue(24) :3273-3279.DOI:10.3760/cma.j.cn115682-20231130-02320

冠心病心绞痛患者运动恐惧体验及应对的质性研究

Qualitative study on kinesiophobia experience and coping in patients with angina pectoris of coronary heart disease

刘文君 1杨巧菊 1王诗雨 1王笑露 1王静静1
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作者信息

  • 1. 河南中医药大学护理学院,郑州 450046
  • 折叠

摘要

目的 探讨冠心病心绞痛患者对运动恐惧的心理体验及应对行为,为提高其运动康复效果提供参考.方法 采用目的抽样法,选取2023年1-10月在河南中医药大学第一附属医院心内科住院的16例冠心病心绞痛患者作为研究对象,对其进行半结构化访谈.采用Colaizzi 7步分析法分析资料和提炼主题.结果 共提炼出3个主题,10个亚主题,包括运动恐惧的体验(疼痛经历引发运动恐惧、负性情绪加重运动恐惧体验、运动健康素养缺乏强化运动恐惧体验)、运动恐惧的应对(心理调适、建立运动习惯、主动回避运动、被动恶性循环)、多层面的心脏康复支持需求(专业支持需求、家庭支持需求、社会支持需求).结论 冠心病心绞痛患者疾病发作后运动恐惧是心脏康复的重要阻碍因素,并存在多层面的心脏康复支持需求.医护人员应重视冠心病心绞痛患者的运动恐惧心理体验,满足患者缓解运动恐惧的多层面需求,促进患者积极应对,降低疾病再发风险.

Abstract

Objective To explore the psychological experience and coping behavior of patients with angina pectoris of coronary heart disease towards kinesiophobia,so as to provide reference for improving their exercise rehabilitation effect.Methods Using the purposive sampling method,a total of 16 patients with angina pectoris of coronary heart disease admitted to Department of Cardiology of the First Affiliated Hospital of Henan University of Chinese Medicine from January to October 2023 were selected as the research objects and semi-structured interviews were conducted.Colaizzi's seven-step analytical method was used to analyze the data and refine the themes.Results A total of three themes and ten sub-themes were extracted,including the experience of kinesiophobia(pain experience triggering kinesiophobia,negative emotions exacerbating kinesiophobia experience,lack of exercise health literacy exacerbating kinesiophobia experience),coping with kinesiophobia(psychological adjustment,establishing exercise habits,actively avoiding exercise,passive vicious cycle)and multi-level cardiac rehabilitation support needs(professional support needs,family support needs,social support needs).Conclusions Kinesiophobia after the onset of angina pectoris in patients with coronary heart disease is an important obstacle to cardiac rehabilitation and there are multiple levels of cardiac rehabilitation support needs.Medical staff should pay attention to the psychological experience of kinesiophobia in patients with angina pectoris of coronary heart disease,meet the multidimensional needs of patients to alleviate kinesiophobia,promote active coping and reduce the risk of disease recurrence.

关键词

冠心病/心绞痛发作/运动恐惧/质性研究

Key words

Coronary heart disease/Angina pectoris attack/Kinesiophobia/Qualitative study

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出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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