中青年经皮冠状动脉介入治疗术后患者疾病感知水平及运动恐惧的关联效应研究  

Correlation effect of illness perception and kinesiophobi in youth and middle-aged patients after percutaneous coronary intervention

作　　者：时贤君 王会聪[2] 秦庆祝[1] SHI Xianjun;WANG Huicong;QIN Qingzhu(Cardiovascular Medicine,Henan Provincial People′s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院心血管内科,郑州450003 [2]河南省人民医院手足显微与创面修复外科,郑州450003

出　　处：《中国临床护理》2023年第7期429-433,共5页Chinese Clinical Nursing

摘　　要：目的探讨中青年经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)后患者疾病感知水平及运动恐惧的关联效应。方法采取便利抽样法选取2021年2月-2022年2月在河南省某三级甲等医院心血管内科门诊复查的204例中青年PCI术后患者为研究对象,采用一般资料调查问卷、心脏病患者运动恐惧量表和简版疾病感知问卷对患者进行调查。结果中青年PCI术后患者运动恐惧总分为(38.19±3.93)分,疾病感知总分为(42.02±5.04)分,疾病感知总分及各维度均与运动恐惧呈正相关(r=0.232~0.352,P<0.05);多元分层线性回归分析显示,在调整了文化程度、家庭人均月收入、支架数量、性别、是否发生心肌梗死、心绞痛发作频率的影响后,疾病感知与运动恐惧存在关联效应(β=0.247,t=5.692,P<0.001)。结论中青年PCI术后患者运动恐惧和疾病感知处于中等水平。临床医护人员应加强患者出院后随访,建立其对疾病本身及运动锻炼的正确认知,并鼓励家属及朋友给予患者更多的关心和支持,降低患者对疾病威胁的感知,减轻其运动恐惧,从而加快患者康复进程。Objective To explore the correlation effect of the disease perception level and kinesophobia among youth and middle-aged patients after percutaneous coronary intervention(PCI).Methods Totally 204 youth and middle-aged patients after PCI who revisited the cardiovascular department outpatient clinic of a grade-A tertiary hospital in Henan province between February 2021 and February 2022 were selected as the research objects by converience sampling method.Then they were surveyed using a general information questionnaire,the tampa scale for kinesiophobia(TSK Heart)and brief illness perception questionnaire(BIPQ).Results The total scores of TSK-Heart and BIPQ were 38.19±3.93 and 42.02±5.04 respectively.The total score and scores of each dimension of BIPQ were positively correlated with kinesophobia(r=0.232~0.352,P<0.05).The results of multiple stratified regression analysis showed that,there was a statistically significant association between disease perception and kinesiophobi among youth and middle-aged patients with PCI(β=0.247,t=5.692,P<0.001),after adjusting for the influence of the number of stents,gender,education,the presence or absence of myocardial infarction,occurrence of myocardial infarction and frequency of angina attacks.Conclusion The youth and middle-aged patients after PCI have moderate levels of kinesophobia and illness perception.Clinical medical staff should strengthen the follow-up of patients after their discharge,establish their correct understanding of the disease itself and exercise,and encourage their family members and friends to give more care and support to patients,so as to relieve patients′negative perception of the disease and their kinesophobia and speed up their recovery.

关 键 词：中青年 急性心肌梗死 经皮冠状动脉介入治疗 运动恐惧 疾病感知 

分 类 号：R473.5[医药卫生—护理学]