老年急性ST段抬高型心肌梗死患者经皮冠状动脉介入治疗术后运动恐惧现状及影响因素分析  

The status and influencing factors of kinesiophobia in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention

作　　者：张丽君[1] 马宏文[1] 孙然然 ZHANG Lijun;MA Hongwen;SUN Ranran(Tianjin People's Hospital,Tianjin 300121)

机构地区：[1]天津市人民医院,天津300121

出　　处：《天津护理》2022年第4期422-426,共5页Tianjin Journal of Nursing

摘　　要：目的:调查老年急性ST段抬高型心肌梗死患者经皮冠状动脉介入治疗(PCI)术后运动恐惧的现状,并分析运动恐惧的影响因素。方法:以心脏监护室157例急性ST段抬高型心肌梗死PCI术后老年患者作为研究对象,采用运动恐惧量表、自我感受负担量表、简易应对方式量表进行问卷调查。结果:老年急性ST段抬高型心肌梗死PCI术后患者运动恐惧评分为(39.52±8.62)分,52.5%的患者存在运动恐惧,运动恐惧主要受性别、教育水平、家庭月收入、消极应对、自我感受负担的影响;自我感受负担总分在消极应对和运动恐惧总分之间起部分中介作用。结论:老年急性ST段抬高型心肌梗死患者PCI术后患者运动恐惧发生率高,医护人员应关注其影响因素,通过降低患者自我感受负担,鼓励患者采取积极的应对方式,进行心脏康复训练,预防运动恐惧的发生。Objective:To investigate the current status and influencing factors of kinesiophobia in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention.Methods:A total of 157 elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention were included by convenient sampling method from cardiac care units.TSK-SV Heart,Self-Perceived Burden Scale and Simplified Coping Style Questionnaire were used in the investigation.Results:The score of TSK-SV Heart was 39.52±8.62,and 52.5%of the patients had kinesiophobia.Kinesiophobia was significantly influenced by gender,educational level,family income,negative coping and self-perceived burden.The total score of self-perceived burden partially mediated the relationship between negative coping and kinesiophobia.Conclusion:The incidence of kinesiophobia is high in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention.Medical staff should pay attention to the influencing factors of kinesiophobia and encourage patients to take active coping methods by reducing the self-perceived burden,then help patients adopting cardiac rehabilitation to prevent the occurrence of kinesiophobia.

关 键 词：老年 急性ST段抬高型心肌梗死 经皮冠状动脉介入治疗 运动恐惧 自我感受负担 应对方式 

分 类 号：R542.22[医药卫生—心血管疾病]