PCI术后患者居家运动康复依从性影响因素的路径分析  

Path analysis of influencing factors on home-based exercise rehabilitation compliance in patients after PCI

作　　者：王丹宁[1] 闫伟红 张丹[2] 孙惠惠 石茜 迟俊涛[3] Wang Danning;Yan Weihong;Zhang Dan;Sun Huihui;Shi Qian;Chi Juntao(School of Nursing,Qingdao University,Qingdao 266071,China;Department of Cardiology,Yantai Yuhuangding Hospital,Qingdao Medical College,Qingdao University,Yantai 264099,China;Nursing Department,Yantai Yuhuangding Hospital,Qingdao Medical College,Qingdao University,Yantai 264099,China)

机构地区：[1]青岛大学护理学院,青岛266071 [2]青岛大学医学院附属烟台毓璜顶医院心内科,烟台264099 [3]青岛大学医学院附属烟台毓璜顶医院护理部,烟台264099

出　　处：《中华现代护理杂志》2024年第12期1653-1658,共6页Chinese Journal of Modern Nursing

摘　　要：目的了解经皮冠状动脉介入治疗(PCI)术后患者居家运动康复依从性影响因素及其作用路径,为制订针对性的干预方案提供理论依据。方法采用方便抽样法,选取2022年7月—2023年2月于青岛大学医学院附属烟台毓璜顶医院行PCI的220例患者为研究对象。采用一般资料问卷、运动自我效能量表、冠心病PCI术后患者疾病感知及行为问卷、社会支持量表、运动依从性随访问卷对患者进行调查。结果本研究共发放问卷220份,回收有效问卷215份,问卷有效回收率为97.73%(215/220)。215例PCI术后患者运动依从性随访问卷得分为(11.35±3.85)分。运动自我效能在患者社会支持与运动依从性间的中介效应值为0.150(95%CI:0.055~0.167,P<0.01),PCI术后疾病认知在患者社会支持与运动依从性间的中介效应值为0.065(95%CI:0.016~0.090,P<0.05)。社会支持对运动依从性的直接效应为0.238(95%CI:0.064~0.278,P<0.01),间接效应为0.215(95%CI:0.083~0.233,P<0.05),中介效应占总效应的47.46%。结论社会支持可以直接或通过运动自我效能、PCI术后疾病认知的中介作用间接影响患者居家运动康复的依从性,医护人员可通过构建基于社会支持的干预策略,提高患者运动自我效能与疾病认知水平,进而提高居家运动康复依从性。Objective To explore the influencing factors and pathways of home-based exercise rehabilitation compliance in patients after percutaneous coronary intervention(PCI),so as to provide theoretical basis for formulating targeted intervention program.Methods From July 2022 to February 2023,convenience sampling was used to select 220 patients who underwent PCI at Yantai Yuhuangding Hospital affiliated with Qingdao Medical College,Qingdao University as the study subject.A survey was conducted on patients using the General Information Questionnaires,Self-Efficacy for Exercise Scale,Illness Perception and Behavior Questionnaire in Patients with Coronary Heart Disease after PCI,Social Support Rating Scale,and Exercise Rehabilitation Compliance Follow-up Scale.Results A total of 220 questionnaires were distributed,and 215 valid questionnaires were collected,with an effective response rate of 97.73%(215/220).The Exercise Rehabilitation Compliance Follow-up Scale in 215 patients after PCI was(11.35±3.85).The mediating effect of exercise self-efficacy between social support and exercise compliance was 0.150[95%CI(0.055,0.167),P<0.01],and the mediating effect of disease cognition between social support and exercise compliance after PCI was 0.065[95%CI(0.016,0.090),P<0.05].The direct effect of social support on exercise compliance was 0.238[95%CI(0.064,0.278),P<0.01],and the indirect effect was 0.215[95%CI(0.083,0.233),P<0.05],and the mediating effect accounted for 47.46%of the total effect.Conclusions Social support can directly or indirectly affect the compliance of patients with home-based exercise rehabilitation through the mediating effect of exercise self-efficacy and post PCI disease cognition.Medical and nursing staff can improve patient exercise self-efficacy and disease cognition by constructing intervention strategies based on social support,thereby enhancing home-based exercise rehabilitation compliance.

关 键 词：经皮冠状动脉介入治疗 居家运动康复 社会支持 运动自我效能 疾病认知 

分 类 号：R473.5[医药卫生—护理学]