老年冠心病患者心脏康复运动依从性调查及影响因素分析  

Investigation of compliance with cardiac rehabilitation exercise in elderly patients with coronary heart disease and analysis of its influencing factors

作　　者：梁晓慧[1] 谷文婷 王晓华[1] 李翠 Liang Xiaohui;Gu Wenting;Wang Xiaohua;Li Cui(Department of General Medicine,First Hospital of Qinhuangdao City,Qinhuangdao,Hebei,066000,P.R.China)

机构地区：[1]秦皇岛市第一医院全科医疗科,河北秦皇岛066000

出　　处：《老年医学与保健》2024年第2期320-324,342,共6页Geriatrics & Health Care

摘　　要：目的调查老年冠心病(CHD)患者心脏康复运动依从性并分析影响因素。方法选取2022年1月-2022年12月秦皇岛市第一医院收治的老年CHD患者200例,使用一般资料调查表、心脏康复运动依从性问卷进行调查,Logistic回归方法分析相关因素。结果200例老年CHD患者心脏康复运动依从性评分为(37.58±5.31)分,其中主动寻求运动建议维度条目均分最低,即(2.84±0.59)分;200例老年CHD患者中,75例(37.50%)运动依从性较差,125例(62.50%)运动依从性良好;心脏康复运动依从性较差组及良好组在受教育程度、合并症、家庭支持度、社会支持度、运动恐惧等方面比较存在明显差异(P<0.05);Logistic回归模型分析显示,受教育程度为初中及以下[OR(95%CI):1.879(1.269,2.792),P=0.002]、有合并症[OR(95%CI):2.784(1.490,5.203),P=0.001]、家庭支持度差[OR(95%CI):2.309(1.382,3.859),P=0.002]、社会支持度差[OR(95%CI):2.020(1.338,3.048),P=0.001]、运动恐惧[OR(95%CI):2.119(1.340,3.352),P=0.001]均为影响老年CHD患者心脏康复运动依从性的独立危险因素。结论老年CHD患者心脏康复运动依从性处于中等水平,受教育程度、合并症、家庭支持度、社会支持度及运动恐惧可能是影响心脏康复运动依从性的主要因素。Objective To investigate the compliance with cardiac rehabilitation exercise in elderly patients with coronary heart disease(CHD)and analyze its influencing factors.Methods A total of 200 elderly CHD patients admitted to First Hospital of Qinhuangdao City from January 2022 to December 2022 were selected.The General Information Questionnaire and Cardiac Rehabilitation Exercise Compliance Questionnaire were used to investigate.Logistic regression method was used to analyze the relevant factors.Results In the 200 elderly CHD patients,the score of cardiac exercise compliance was(37.58±5.31)points,in which the mean score of actively seeking exercise advice was the lowest(2.84±0.59)points.Among 200 elderly CHD patients,75 ones(37.50%)had poor exercise compliance and 125 ones(62.50%)had well exercise compliance.There were significant differences in education level,comorbidities,family support,social support and exercise fear between the poor cardiac rehabilitation exercise compliance group and good cardiac rehabilitation exercise compliance group(P<0.05).Logistic regression model analysis showed that education level of junior high school and below[OR(95%CI):1.879(1.269,2.792),P=0.002],comorbidities[OR(95%CI):2.784(1.490,5.203),P=0.001],poor family support[OR(95%CI):2.309(1.382,3.859),P=0.002],poor social support[OR(95%CI):2.020(1.338,3.048),P=0.001]and exercise fear[OR(95%CI):2.119(1.340,3.352),P=0.001]were independent risk factors for the compliance with cardiac rehabilitation exercise in elderly CHD patients.Conclusion The compliance with cardiac rehabilitation exercise in elderly CHD patients is at a medium level.Education level,comorbidities,family support,social support,and exercise fear may be the main factors affecting compliance with cardiac rehabilitation exercise.

关 键 词：老年 冠心病 心脏康复 运动依从性 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病] R493[医药卫生—内科学]