构建基于运动恐惧和虚弱的成人心脏手术患者心脏康复锻炼自我效能预测模型  

Construction of cardiac exercise self-efficacy prediction model for adult cardiac surgery patients based on kinesiophobia and frailty

作　　者：邢爱珍 李雪苹[1] 金培峰[1] 胡晓静[1] 林爱玲[1] 陈朝红[1] XING Aizhen;LI Xueping;JIN Peifeng;HU Xiaojing;LIN Ailing;CHEN Chaohong(Department of Cardiology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院心脏外科,325000

出　　处：《心电与循环》2025年第2期164-167,172,共5页Journal of Electrocardiology and Circulation

基　　金：温州市基础性科研项目(Y2023706)。

摘　　要：目的构建基于运动恐惧和虚弱的成人心脏手术患者心脏康复锻炼自我效能(CESE)预测模型。方法前瞻性选择2022年2月至2024年2月温州医科大学附属第一医院心脏外科收治的冠心病、心脏瓣膜疾病患者230例。患者于入院后72 h内接受坦帕运动恐惧心脏量表和Fried虚弱量表评估,术后16周接受CESE量表评估。采用多重线性回归分析CESE的影响因素并构建模型,校正R^(2)用于评估回归模型的拟合优度。结果运动恐惧134例(58.3%),虚弱70例(30.4%),CESE评分为(45.7±10.2)分。多重线性回归分析显示,文化程度、家庭月收入、心脏病病程、纽约心脏病协会分级、运动恐惧症和虚弱是CESE的独立影响变量。模型1(含前4个变量)、模型2(含前5个变量),模型3(含前4个和第6个变量)和模型4(含全部6个变量)的R^(2)分别为0.499、0.689、0.612和0.765,校正后的R^(2)分别为0.483、0.678、0.598和0.755(均P<0.001)。模型4的回归模型拟合优度最佳,预测效能最高。结论纳入运动恐惧和虚弱变量的模型能提升预测CESE的能力。Objective To construct a cardiac exercise self-efficacy(CESE)prediction model for adult cardiac surgery patients based on kinesiophobia and frailty.Methods A total of 230 inpatients with coronary artery disease or valvular heart disease in the Department of Cardiac Surgery of the First Affiliated Hospital of Wenzhou Medical University from February 2022 to February 2024 were enrolled prospectively.The patients were evaluated using Tampa Scale for Kinesiophobia Heart and Fried Frailty Scale within 72 hours after admission,and CESE Scale at 16 weeks postoperatively.Multiple linear regression was used to analyze the influencing variables of CESE and construct models.The adjusted R^(2) was used to evaluate the goodness-of-fit of the regression models.Results There were 134 cases(58.3%)with kinesiophobia and 70 cases(30.4%)with frailty.CESE score was(45.7±10.2).Multiple regression analysis showed that educational level,monthly family income,duration of heart disease,NYHA classification,kinesiophobia and frailty were independent influencing variables of CESE.The R^(2) of Model 1(including the first 4 variables),Model 2(including the first 5 variables),Model 3(including the first 4 and sixth variables),and Model 4(including all 6 variables)were 0.499,0.689,0.612 and 0.765,respectively,and the adjusted R^(2) were 0.483,0.678,0.598 and 0.755(al P<0.001),respectively.Model 4 had the best goodness-of-fit and the highest predictive power.Conclusion A model incorporating variables of kinesiophobia and frailty can enhance its ability to predict CESE.

关 键 词：运动恐惧 虚弱 心脏手术 心脏康复锻炼自我效能 

分 类 号：R473.6[医药卫生—护理学]