经皮冠状动脉介入治疗术后病人运动恐惧发生率及影响因素的Meta分析  

Meta-analysis of the incidence and influencing factors of kinesiophobia in patients after percutaneous coronary intervention

作　　者：赵珂 张宝凤[1] 赵晨曦 刘梦丽 张利娟[1] 杨展[1] 陈飘 ZHAO Ke;ZHANG Baofeng;ZHAO Chenxi;LIU Mengli;ZHANG Lijuan;YANG Zhan;CHEN Piao(The Second Affiliated Hospital of Zhengzhou University,Henan 450014 China)

机构地区：[1]郑州大学第二附属医院,450014 [2]南京市第二医院,210037

出　　处：《全科护理》2024年第13期2383-2388,共6页Chinese General Practice Nursing

基　　金：2023年河南省医学科技攻关计划软科学项目,编号:RKX202301009。

摘　　要：目的:评价经皮冠状动脉介入治疗(percutaneous coronary intervention, PCI)术后病人运动恐惧发生率及影响因素,以期为早期筛查、预防运动恐惧提供循证依据。方法:系统检索PubMed、Embase、Web of Science、theCochrane library、中国知网、Sinomed、万方数据库、维普数据库等中英文数据库,检索时限为建库至2023年8月31日。所有文献的筛选、相关资料提取和质量评价均由2名研究者独立完成,采用RevMan 5.3及Stata 14.0软件进行Meta分析。结果:共纳入21篇文献,包括4 251例病人。Meta分析结果显示,经皮冠状动脉介入治疗术后病人运动恐惧发生率为50%。有统计学意义的影响因素分别为年龄、家庭月收入、教育水平、支架植入术后时间、负性情绪、消极应对、自我效能、负性疾病感知。以标准化均数差为效应量合并效应值有统计学意义的影响因素为性别。结论:经皮冠状动脉介入治疗术后病人运动恐惧发生率高,受多种因素影响,医护人员应针对运动恐惧影响因素尽早进行预防筛查,及早干预,降低经皮冠状动脉介入治疗术后病人运动恐惧发生率。Objective:To systematically evaluate the incidence and influencing factors of kinesiophobia in patients after percutaneous coronary intervention(PCI)using by Meta-analysis,in order to provide an evidence-based basis for early screening and prevention of kinesiophobia.Methods:The databases including PubMed,Embase,Web of Science,the Cochrane library,CNKI,Sinomed,Wanfang,VIP were systematically searched,the search time was from the inception of databases until August 31,2023.All literatures screening,relevant data extraction,and quality evaluation were independently conducted by two researchers.RevMan 5.3 software and Stata14.0 software were used for Meta-analysis.Results:A total of 21 articles were included,including 4251 patients.The Meta-analysis results showed that the incidence of kinesiophobia in patients after percutaneous coronary intervention was 50%.The statistically significant influencing factors were age,monthly family income,education level,time after stent implantation,negative emotions,negative coping,self-efficacy,negative disease cognition;The influence factor with standardized mean difference as effect size and the influence factor with statistical difference in effect size was gender combined with SMD was gender.Conclusions:The incidence of kinesiophobia in patients after percutaneous coronary intervention is high and is influenced by various factors.Medical staff should conduct early prevention screening and intervention to reduce the incidence of kinesiophobia in patients after percutaneous coronary intervention.

关 键 词：经皮冠状动脉介入治疗 运动恐惧 影响因素 META分析 

分 类 号：R473.5[医药卫生—护理学]