广州医药2024，Vol.55Issue(7)：723-729,7.DOI:10.3969/j.issn.1000-8535.2024.07.004
冠心病患者心脏康复参与意愿的调查分析
Investigation and analysis of participation willingness of cardiac rehabilitation in coronary heart disease patients
摘要
Abstract
Objective To study the factors and intervention measures that affect the willingness of coronary heart disease patients to participate in cardiac rehabilitation.Methods A total of 624 patients with coronary heart disease admitted to Gaozhou People's Hospital from January 2021 to March 2022 were selected as the research subjects.A self-designed survey questionnaire on willingness to participate in cardiac rehabilitation and the Seattle Angina Pectoris Scale were used to investigate and evaluate the patients.The current status and influencing factors of willingness to participate in cardiac rehabilitation in coronary heart disease patients were analyzed.Results Among 624 patients with coronary heart disease,162 were willing to participate(25.96％),126 hoped to participate(20.19％),and 66 planned to participate(10.58％).Uunivariate analysis showed that the main factors affecting the willingness of coronary heart disease patients to participate in cardiac rehabilitation included social support,education level,entertainment activities,breathing difficulties,and angina.In terms of social support,subjective support,objective support,and support utilization scores were(2.32±0.41)points,(2.99±0.74)points,and(2.58±0.95)points,respectively,with statistically significant differences(F=53.428,P<0.001).In terms of education level,the scores for middle school and below,high school and vocational school,college and above were(2.35±0.18)points,(2.61±0.90)points,and(3.09±0.63)points,respectively,with statistically significant differences(F=29.947,P<0.001).In terms of entertainment activities,the scores for none,less and normal were(2.60±0.12)points,(2.88±0.29)points,and(3.13±0.72)points,respectively,with statistically significant differences(F=44.903,P<0.001).In terms of breathing difficulties,the scores for≥1 time/day,≥1 time/week,<1 time/month,or no were(2.09±0.84)points,(2.31±0.70)points,and(3.06±0.53)points,respectively,with statistical significance(F=116.082,P<0.001).In terms of angina,the scores for≥1 time/day,≥1 time/week,<1 time/month,or no were(2.51±0.33)points,(2.82±0.76)points,and(3.15±0.87)points,respectively,with statistical significance(F=16.442,P<0.001).Multivariate analysis showed that the independent influencing factors on the willingness of coronary heart disease patients to participate in cardiac rehabilitation mainly include education level,entertainment activities,breathing difficulties,and social support,and the results were statistically significant(P<0.05).Conclusions Education level,entertainment activities,breathing difficulties,and social support are the main reasons for the low willingness of coronary heart disease patients to participate in cardiac rehabilitation.Clinical attention should be paid to this and measures such as rehabilitation education,implementation of continuity of care,and establishment of a supportive environment should be taken to encourage coronary heart disease patients to actively participate in cardiac rehabilitation and effectively improve their prognosis.关键词
冠心病/心脏康复/参与意愿/影响因素/干预措施Key words
coronary heart disease/cardiac rehabilitation/willingness to participate/influencing factors/interventions引用本文复制引用
陶丽,文若兰,范婷,龚兰娟,赖杏,朱燕梅..冠心病患者心脏康复参与意愿的调查分析[J].广州医药,2024,55(7):723-729,7.基金项目
广东省医学科学技术研究基金项目(B2021458) （B2021458）
