冠心病经皮冠状动脉介入治疗术后参与Ⅱ期心脏康复患者运动恐惧状况及其影响因素  

Exercise fear condition in patients with coronary heart disease participating in phase Ⅱ cardiac rehabilitation after PCI and its influencing factors

作　　者：黄宏鑫 贾一凡 江宽列 李兴觉 王华康 路伟 HUANG Hong-xin;JIA Yi-fan;JIANG Kuan-lie;LI Xing-jue;WANG Hua-kang;LU Wei(School of Management,Hainan Medical University,Haikou,Hainan,571199,China)

机构地区：[1]海南医科大学管理学院,海南海口571199 [2]中央财经大学政府管理学院 [3]海南省妇女儿童医学中心科研科

出　　处：《心血管康复医学杂志》2025年第1期1-6,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：国家自然科学基金项目(72204069)。

摘　　要：目的:探究经皮冠状动脉介入治疗术(PCI)后冠心病患者参与Ⅱ期心脏康复的运动恐惧状况及其影响因素。方法:对2023年1月至6月于山西某三级甲等医院进行心脏康复的患者进行便利抽样。采用一般资料问卷、中文版心脏康复运动恐惧心理量表(TSK-SV H)、多维度感知社会支持量表(MSPSS)和经皮冠脉介入术患者健康素养量表(PPCIHLS)进行评估。应用Pearson和Spearman秩相关分析社会支持因素和健康素养因素与患者运动恐惧之间的相关性;分别采用多元线性回归模型和分位数回归模型分析运动恐惧的影响因素。结果:共118名患者参与,TSK-SV H量表平均得分(33.78±3.79)分,10.2%患者表现出显著恐惧。相关性分析结果显示PPCIHLS得分与TSK-SV H得分呈负相关(r=-0.423,P<0.001);多元回归分析结果显示健康素养、心功能分级和饮酒情况等因素对平均运动恐惧得分有影响(P均<0.05);分位数回归模型结果展示了更多信息,其中居住方式、饮酒情况、心功能分级、健康素养对运动恐惧不同分位数点的影响有所区别,而心功能分级则对不同分位数点上的运动恐惧得分均产生正向影响。结论:提高患者健康素养,制定个性化康复计划对降低运动恐惧、提升心脏康复效果至关重要。Objective:To investigate exercise fear condition and its influencing factors in patients with coronary heart disease(CHD)involving in phase Ⅱ cardiac rehabilitation after percutaneous coronary intervention(PCI).Methods:Convenience sampling was performed among cardiac rehabilitation patients from a Shanxi grade-A tertiary hospital between January 2023 and June 2023.General data questionnaire,Tampa Scale for Kinesiophobia-Short Version for Heart patients(TSK-SV H),the Multidimensional Scale of Perceived Social Support(MSPSS)and the Post Percutaneous Coronary Intervention Health Literacy Scale(PPCIHLS)were used for assessment.Pearson and Spearman rank correlation analyses were applied to investigate the relationships between social support factors and health literacy factors with patients'fear of exercise;multivariate linear regression models and quantile regression models were used to analyze the influencing factors of fear of exercise.Results:Among the 118 patients,average TSK-SV H score was(33.78±3.79)points;10.2%patients showed significant fear.The correlation analysis showed that PPCIHLS score was negatively correlated with TSK-SV H score(r=-0.423,P<0.001).Results from multivariate regression analysis indicated that health literacy,cardiac function class and drinking status affected the average score of exercise fear(P<0.05 all).The quantile regression model provided additional insights,showing that the impact of factors such as living situation,drinking status,cardiac function class and health literacy on exercise fear varied across different quantiles.Notably,cardiac function class had a consistently positive effect on TSK-SV H score at various quantiles.Conclusion:Improving health literacy and tailored rehabilitation plans are vital to reduce exercise fear and improve cardiac rehabilitation effect.

关 键 词：冠心病 血管成形术 气囊 冠状动脉 康复 

分 类 号：R541.4[医药卫生—心血管疾病]