冠心病患者PCI术后康复训练依从性现状及影响因素分析  

Analysis of compliance with rehabilitation training and influencing factors in patients with coronary heart disease after PCI

作　　者：秦燕波 杨卓璇[2] 柴炜红 Qin Yanbo;Yang Zhuoxuan;Chai Weihong(Department of Cardiology,Yuncheng Central Hospital Affiliated to Shanxi Medical University,Yuncheng 044000,China)

机构地区：[1]山西医科大学附属运城市中心医院心内导管室,运城044000 [2]山西医科大学附属运城市中心医院心内科,运城044000

出　　处：《中华保健医学杂志》2024年第4期399-402,共4页Chinese Journal of Health Care and Medicine

基　　金：山西省医学重点科研项目(2022XM52)。

摘　　要：目的 分析冠心病患者经皮冠状动脉介入术(PCI)术后康复训练依从性现状及其影响因素。方法 选择2022年1月~2024年1月期间在运城市中心医院接受PCI治疗的1 067例冠心病患者,按照康复训练依从性分为依从性良好组和依从性不佳组,比较两组疾病感知评分、运动恐惧评分及临床资料。结果 共发放问卷1 067份,有效回收994份,994例冠心病PCI术后患者康复训练依从性良好者366例(36.82%),最终依从性良好组纳入366例,依从性不佳组纳入628例。依从性不佳组疾病感知问卷认知、情绪、理解能力分值及总分均高于依从性良好组,运动恐惧量表避免运动、害怕受伤、自身功能下降、感知心脏危险分值及总分均高于依从性良好组,差异有统计学意义(P<0.05)。logistic分析结果显示,高疾病感知评分、高运动恐惧评分、小学及以下学历、独居是冠心病患者PCI术后康复训练依从性不佳的独立影响因素(P<0.05)。结论 冠心病患者PCI术后康复训练依从性处于较低水平,通过干预疾病感知、运动恐惧有助于提高患者康复训练依从性。Objective To analyze the status of compliance with rehabilitation training among patients with coronary heart disease after percutaneous coronary intervention(PCI)and influencing factors.Methods A total of 1,067 patients with coronary heart disease who received PCI at Yuncheng Central Hospital were selected between January 2022 and January 2024.They were divided into the good compliance group and the poor compliance group according to the status of compliance with rehabilitation training.Disease perception score,fear of exercise score and clinical data of the two groups were compared.Results A total of 1,067 questionnaires were distributed,and 994 were effectively collected.Among the 994 patients with coronary heart disease who underwent PCI,366 patients had good compliance with rehabilitation training and 628 patients had poor compliance.The scores for cognitive domain,emotional domain and comprehension in the disease perception questionnaire,and total score of the poor compliance group were higher than those of the good compliance group(P<0.05).The scores for avoiding exercise,fear of injury,function decline and perceived cardiac risk in the fear of exercise scale,and total score of the poor compliance group were higher than those of the good compliance group(P<0.05).Logistic analysis results showed that high disease perception score,high fear of exercise score,education level of primary school or below,and living alone were independent influencing factors for poor compliance with postoperative rehabilitation training among patients with coronary heart disease(P<0.05).Conclusion Patients with coronary heart disease have relatively low compliance with rehabilitation training after PCI.Intervention from perspectives of disease perception and fear of exercise can help to improve their compliance with rehabilitation training.

关 键 词：冠心病 经皮冠状动脉介入术 康复训练依从性 疾病感知 运动恐惧 

分 类 号：R541[医药卫生—心血管疾病]