运动恐惧在冠心病PCI后患者健康素养及心脏康复障碍间的中介效应  

Mediating Effects of Kinesiophobia on Health Literacy and Cardiac Rehabilitation Barriers in Patients with Coronary Heart Disease after PCI

作　　者：苏宇虹[1] 黄沂[1] 刘玲玲 梁锦波 SU Yuhong;HUANG Yi;LIU Lingling;LIANG Jinbo(Nursing Department,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China;Department of Spleen and Stomach Diseases,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China;Department of Hepatology,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)

机构地区：[1]广西中医药大学第一附属医院护理部,广西壮族自治区南宁市530023 [2]广西中医药大学第一附属医院脾胃病科一区,广西壮族自治区南宁市530023 [3]广西中医药大学第一附属医院肝病科二区,广西壮族自治区南宁市530023

出　　处：《实用心脑肺血管病杂志》2025年第2期124-129,共6页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：国家自然科学基金资助项目(72164003);广西中医药重点学科建设项目(GZXK-Z-20-56);广西中医药适宜技术开发与推广项目(GZSY23-19)。

摘　　要：目的探讨运动恐惧在冠心病经皮冠状动脉介入治疗(PCI)后患者健康素养及心脏康复障碍间的中介效应。方法选取2024年1—3月在广西中医药大学第一附属医院、广西中医药大学附属瑞康医院及广西壮族自治区江滨医院就诊的冠心病PCI后患者为调查对象,采用一般资料调查表、PCI患者健康素养量表、心脏病患者运动恐惧量表(TSK-SV Heart)及心脏康复障碍量表(CRBS)进行调查。冠心病PCI后患者PCI患者健康素养量表总分、TSK-SV Heart总分、CRBS总分的相关性分析采用Pearson相关分析;冠心病PCI后患者运动恐惧在健康素养及心脏康复障碍间的中介效应分析采用PROCESS宏的中介变量分析。结果本调查共发放问卷204份,回收有效问卷202份,问卷有效回收率为99.0%。冠心病PCI后患者PCI患者健康素养量表总分41~116分,平均(76.3±15.6)分;TSK-SV Heart总分34~60分,平均(44.4±4.2)分;CRBS总分32~97分,平均(62.7±12.6)分。初中及以下患者CRBS总分高于高中/中专、大专及以上患者(P<0.05)。Pearson相关分析结果显示,冠心病PCI后患者PCI患者健康素养量表总分与TSK-SV Heart总分及CRBS总分呈负相关(P<0.05),TSK-SV Heart总分与CRBS总分呈正相关(P<0.05)。PROCESS宏的中介变量分析结果显示,冠心病PCI后患者健康素养对心脏康复障碍的直接效应值为-0.257〔95%CI(-0.364~-0.151)〕,占总效应值的88.62%,运动恐惧在健康素养与心脏康复障碍间的间接效应值为-0.033〔95%CI(-0.073~-0.004)〕,占总效应值的11.38%。结论冠心病PCI后患者心脏康复障碍水平处于中等偏上水平,健康素养对运动恐惧有负向影响,且运动恐惧在健康素养及心脏康复障碍间起部分中介效应。Objective To explore the mediating effects of kinesiophobia on health literacy and cardiac rehabilitation barriers in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods The patients with coronary heart disease after PCI admitted to the First Affiliated Hospital of Guangxi University of Chinese Medicine,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,and Jiangbin Hospital of Guangxi Zhuang Autonomous Region from January to March 2024 were selected as the survey subjects.The patients were surveyed by the General Information Questionnaire,PCI Patients'Health Literacy Scale,Tampa Scale for Kinesiophobia Heart(TSK-SV Heart)and Cardiac Rehabilitation Barriers Scale(CRBS).Pearson correlation analysis was used to explore the correlation between the total scores of PCI Patients'Health Literacy Scale,TSK-SV Heart and CRBS in patients with coronary heart disease after PCI.Mediating variables analysis in PROCESS macro was used to analyze the mediating effects of kinesiophobia on health literacy and cardiac rehabilitation barriers in patients with coronary heart disease after PCI.Results A total of 204 questionnaires were distributed and 202 valid questionnaires were returned,with a valid return rate of 99.0%.The total score of PCI Patients'Health Literacy Scale in patients with coronary heart disease after PCI ranged from 41 to 116 points,with an average of(76.3±15.6)points;the total score of TSK-SV Heart ranged from 34 to 60 points,with an average of(44.4±4.2)points;the total score of CRBS ranged from 32 to 97 points,with an average of(62.7±12.6)points.The total score of CRBS in patients with middle school and below was higher than that in patients with high school/vocational school,college and above(P<0.05).Pearson correlation analysis showed that the total score of PCI Patients'Health Literacy Scale in patients with coronary heart disease after PCI was negatively correlated with the total scores of TSK-SV Heart and CRBS(P<0.05),the total score of TSK-SV Hear

关 键 词：冠心病 经皮冠状动脉介入治疗 恐惧 健康素养 心脏康复 中介分析 

分 类 号：R541.4[医药卫生—心血管疾病]