Current status and influencing factors of exercise fear in patients after coronary artery stent implantation
Objective To explore the status of exercise fear in patients after coronary artery stent im-plantation(CASI)and its influencing factors.Methods A total of 80 patients with coronary heart disease who underwent CASI treatment at the hospital from April 2022 to April 2023 were selected.The study used the Tampa Scale for Kinesiophobia-Short Version Heart(TSK-SV Heart),general information questionnaire,exercise self-efficacy scale,exercise social support scale,and Visual Analog Scale(VAS)to investigate the sta-tus of exercise fear and its influencing factors in patients after CASI.Results The total TSK-SV Heart score for patients after CASI was(40.22±4.72)points.Univariate analysis showed that patients'education level,age,time after CASI,and total number of stents implanted were related to the occurrence of exercise fear after CASI,with statistically significant differences(P<0.05).Patients'gender,smoking history,average monthly household income,marital status,NYHA classification and sedentary behavior in the past week were not relat-ed to exercise fear after CASI,with no statistically significant differences(P>0.05).CASI exercise social support and exercise self-efficacy were negatively correlated with exercise fear(P<0.05),while pain intensity was positively correlated with exercise fear(P<0.05).Multivariate analysis showed that low education level,older age,short time after CASI,sedentary behavior in the past week,low levels of exercise social support and exercise self-efficacy,and severe pain were high-risk factors influencing exercise fear after CASI(P<0.05).Conclusion The level of exercise fear is high in patients after CASI,especially in those who are older,have a lower education level,a shorter time after CASI,a higher total number of stents implanted,lower levels of ex-ercise social support and exercise self-efficacy,and experience severe pain.