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急性心梗患者经皮冠状动脉介入术后早期恐动症现状及影响因素分析

黎钰晴 袁丽 李静 陈名桂 张晓璇

中国康复2024,Vol.1Issue(10):611-616,6.
中国康复2024,Vol.1Issue(10):611-616,6.DOI:10.3870/zgkf.2024.10.007

急性心梗患者经皮冠状动脉介入术后早期恐动症现状及影响因素分析

The status quo and influencing factors of early kinesiophobia in patients with acute myocardial infarction after PCI

黎钰晴 1袁丽 1李静 2陈名桂 2张晓璇2

作者信息

  • 1. 广州中医药大学第二临床医学院,广州 510405
  • 2. 广州中医药大学第二附属医院重症医学科,广州 510120
  • 折叠

摘要

Abstract

Objective:To investigate the level of kinesiophobia in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)and analyze its influencing factors,in order to provide reference for improving the current status of cardiac rehabilitation.Methods:All 112 post-PCI AMI patients were collected as study subjects.The patients were investigated by using a general information questionnaire,the Tampa scale for ki-nesiophobia heart,hospital anxiety and depression scale,multidimensional self-efficacy for exercise scale and exer-cise social support scale.multiple linear regression analysis was used to explore the influencing factors of kinesio-phobia.Results:The total score of kinesiophobia in 112 post-PCI AMI patients was 43.47±3.44 points,and 98.2%of them had a high level of kinesiophobia.Single factor analysis showed that job category,COVID-19 infec-tion history,previous surgical history,duration,frequency and intensity of exercise,NYHA cardiac function classi-fication and Proudilit coronary artery stenosis classification of the left circumflex artery were associated with kinesio-phobia in post-PCI AMI patients.Multiple linear regression analysis showed that depression,self-efficacy for exer-cise,left ventricular end-diastolic dimension,and exercise intensity were important factors that affected the level of kinesiophobia in post-PCI AMI patients.Conclusion:Medical staff should pay attention to the early assessment and intervention of kinesiophobia in post-PCI AMI patients to promote active participation of early cardiac rehabilitation.

关键词

急性心肌梗死/经皮冠状动脉介入治疗/恐动症/影响因素

Key words

acute myocardial infarction/percutaneous coronary intervention/kinesiophobia/influencing factors

分类

医药卫生

引用本文复制引用

黎钰晴,袁丽,李静,陈名桂,张晓璇..急性心梗患者经皮冠状动脉介入术后早期恐动症现状及影响因素分析[J].中国康复,2024,1(10):611-616,6.

基金项目

广东省中医药局科研项目(20211041) (20211041)

中国康复

OACSTPCD

1001-2001

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