师子秋 1南莎 1刘晓萱 1余旻虹 1冯欣宇 1杨欣怡1
作者信息
- 1. 中国医学科学院北京协和医院保健医疗部,北京 100005
- 折叠
摘要
Abstract
Objective To investigate the incidence of kinesiophobia and analyze its influence factors in elderly patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods 172 elderly CHD patients who underwent PCI in Peking Union Medical College Hospital,Chinese Academy of Medical Sciences from September 2023 to September 2024 were enrolled.Surveys were conducted using a self-designed general information questionnaire,the Tampa Scale for Kinesiophobia for Heart Disease Patients(TSK-H),the Wake Forest Physician Trust Scale,the Simplified Coping Style Questionnaire,and the General Self-Efficacy Scale.Results The incidence of kinesiophobia among the 172 elderly post-PCI patients was 40.70％(70/172).Univariate analysis revealed that kinesiophobia was significantly associated with gender(x2=5.248,P=0.022),marital status(x2=5.891,P=0.015),place of residence(x2=8.438,P=0.004),number of comorbid chronic diseases(Z=-2.125,P=0.034),and self-efficacy(t=-4.284,P＜0.001).Multivariate logistic regression analysis indicated that unmarried status(OR=2.957,95％CI:1.323-6.611),female gender(OR=0.435,95％CI:0.210-0.892),1-2 chronic comorbidities(OR=4.620,95％CI:1.792-11.906),and low self-efficacy(OR=0.907,95％CI:0.856-0.961)were independent influencing factors for kinesiophobia after PCI(all P＜0.05).Conclusion The prevalence of kinesiophobia is high among elderly CHD patients after PCI and is influenced by gender,marital status,number of chronic comorbidities,and self-efficacy.Early screening and personalized interventions should be implemented for high-risk populations to improve rehabilitation outcomes of patients.关键词
老年/经皮冠状动脉介入术/恐动症/影响因素Key words
elderly/percutaneous coronary intervention/kinesiophobia/influence factor
