冠心病患者运动恐惧水平及影响因素的Meta分析  

Meta analysis of kinesiophobia level and influencing factors in patients with coronary heart disease

作　　者：彭雨琪 许良梅 童冬彤 张艳[3] 谢伦芳[1] Peng Yuqi;Xu Liangmei;Tong Dongtong;Zhang Yan;Xie Lunfang(School of Nursing,Anhui Medical University,Hefei 230031,China;Nursing Department,Anhui No.2 Provincial People's Hospital,Hefei 230011,China;Emergency Management Office,the First Affiliated Hospital of Anhui Medical University,Hefei 230031,China)

机构地区：[1]安徽医科大学护理学院,合肥230031 [2]安徽省第二人民医院护理部,合肥230011 [3]安徽医科大学第一附属医院应急管理办公室,合肥230031

出　　处：《中华现代护理杂志》2023年第30期4076-4084,共9页Chinese Journal of Modern Nursing

基　　金：2023年度安徽医科大学护理学院研究生青苗培育项目(hlqml2023053)。

摘　　要：目的采用Meta分析方法探索冠心病患者运动恐惧水平及影响因素,为制订冠心病患者运动恐惧的干预措施提供参考。方法检索中国知网、维普网、万方数据库、PubMed等数据库中有关冠心病患者运动恐惧水平及影响因素的文献,检索时限为建库至2023年5月19日。采用Stata15.1软件对纳入研究进行分析。结果共纳入20篇文献,Meta结果显示,冠心病患者运动恐惧处于较高水平,总分为42.76[95%CI(40.72,44.80)]分。性别[MD=-2.39,95%CI(-3.35,-1.44),P<0.001]、医疗费用支付方式[MD=2.38,95%CI(1.09,3.67),P<0.001]、心功能[MD=-9.72,95%CI(-14.45,-4.99),P<0.001]、有无心脏手术[MD=3.42,95%CI(1.58~5.26),P<0.001]、支架个数[MD=-4.82,95%CI(-9.09,-0.55),P=0.027]、是否饮酒[MD=-3.54,95%CI(-5.03,-2.04),P<0.001]、自我感受负担[Summary r=0.36,95%CI(0.31,0.41),P<0.001]、自我效能[Summary r=-0.60,95%CI(-0.75,-0.38),P<0.001]是冠心病患者运动恐惧水平的影响因素。结论冠心病患者运动恐惧水平较高,医护人员需结合人群特征给予针对性干预以降低患者的运动恐惧水平。Objective To explore the level and influencing factors of kinesiophobia in patients with coronary heart disease using meta-analysis,so as to provide references for formulating intervention strategies to reduce the level of kinesiophobia.Methods The literatures on the level of kinesiophobia and its influencing factors in patients with coronary heart disease were searched from CNKI,VIP,Wanfang,PubMed and other databases from estabishment of the databases to May 19,2023.The included studies were analyzed by Stata 15.1.Results A total of 20 articles were included.The Meta-analysis results showed that patients with coronary heart disease had a high level of kinesiophobia,with a total score of 42.76[95%CI(40.72,44.80)].Gender[MD=-2.39,95%CI(-3.35,-1.44),P<0.001],method of payment for hospital care[MD=2.38,95%CI(1.09,3.67),P<0.001],cardiac function[MD=-9.72,95%CI(-14.45,-4.99),P<0.001],with or without experience of cardiac surgery[MD=3.42,95%CI(1.58~5.26),P<0.001],number of stent[MD=-4.82,95%CI(-9.09,-0.55),P=0.027],drinking status[MD=-3.54,95%CI(-5.03,-2.04),P<0.001],self-perceived burden[Summary r=0.36,95%CI(0.31,0.41),P<0.001]and self-efficacy[Summary r=-0.60,95%CI(-0.75,-0.38),P<0.001]were the factors influencing the level of kinesiophobia.Conclusions The level of kinesiophobia in patients with coronary heart disease is high.Medical staff need to provide targeted interventions based on the characteristics of the population to reduce the kinesiophobia level of patients.

关 键 词：冠心病 运动恐惧 影响因素 META分析 

分 类 号：R473.5[医药卫生—护理学]