运动康复对冠心病患者疾病感知、自我效能和心理状态的影响  

Effects of exercise rehabilitation on disease perception,self-efficacy and psychological status of patients with coronary heart disease

作　　者：毛蕾芳[1] 王利[2] 张丽平[3] MAO Leifang;WANG Li;ZHANG Liping(Department of Rehabilitation Medicine,Henan Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院康复医学科,郑州450000 [2]河南省胸科医院心内科 [3]河南省胸科医院内镜诊疗部

出　　处：《中国健康心理学杂志》2021年第7期1010-1014,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201809252)。

摘　　要：目的:探究运动康复对冠心病患者疾病感知、自我效能和心理状态的影响。方法:选取2019年1-12月医院收治的冠心病患者(112例)作为研究对象,采用随机数字表法分为对照组和观察组,各56例。对照组患者接受常规药物治疗,观察组在对照组基础上接受12周运动康复治疗,分别比较两组患者干预前后简版疾病感知量表(BIPQ)、一般自我效能量表(GSES)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及西雅图心绞痛量表(SAQ)评分水平。结果:①疾病感知:干预后,观察组BIPQ评分高于对照组(t=4.165,P<0.001);②自我效能:干预后,观察组GSES评分低于对照组(t=4.055,P<0.001);③心理状态:干预后,观察组SAS、SDS评分均低于对照组(SAS:t=8.501,P<0.001;SDS:t=4.827,P<0.001);④生活质量:干预后,观察组SAQ中躯体活动受限程度(t=5.685,P<0.001)、心绞痛稳定状态(t=4.408,P<0.001)、心绞痛发作情况(t=8.659,P<0.001)、治疗满意程度(t=8.055,P<0.001)、疾病认知程度(t=9.568,P<0.001)评分均高于对照组。结论:运动康复可明显改善冠心病患者负向感知、自我效能和心理状态,提高日常生活质量。Objective:To explore the effects of exercise rehabilitation on disease perception,self-efficacy and psychological status of patients with coronary heart disease(CHD).Methods:A total of 112 CHD patients who were admitted to the hospital from January to December 2019 were enrolled as the research objects.They were divided into control group and observation group by random number table method,56 cases in each group.The control group was treated with routine drugs,while observation group was treated with 12-week exercise rehabilitation on basis of control group.The scores of brief illness perception questionnaire(BIPQ),general self-efficacy scale(GSES),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Seattle Angina Questionnaire(SAQ)before and after intervention were compared between the two groups.Results:①After intervention,BIPQ score in observation group was higher than that in control group(t=4.165,P<0.001).②After intervention,GSES score in observation group was lower than that in control group(t=4.055,P<0.001).③After intervention,SAS and SDS scores in observation group were lower than those in control group(t=8.501,4.827;P<0.001).④After intervention,scores of physical activity limitation(t=5.685,P<0.001),stable angina(t=4.408,P<0.001),angina onset(t=8.659,P<0.001),treatment satisfaction(t=8.055,P<0.001)and disease cognition(t=9.568,P<0.001)in SAQ of observation group were higher than those of control group.Conclusion:Exercise rehabilitation can significantly improve negative perception,self-efficacy,psychological status and quality of daily life in CHD patients.

关 键 词：冠心病 运动康复 疾病感知 自我效能 心理状态 

分 类 号：R749.92[医药卫生—神经病学与精神病学]