老年冠心病患者经皮冠状动脉介入治疗后恐动症现状及其影响因素初探

Preliminary study on current status and influence factors of kinesiophobia in elderly patients with coronary heart disease after percutaneous coronary intervention

中文关键词: 老年  经皮冠状动脉介入术  恐动症  影响因素

英文关键词: elderly  percutaneous coronary intervention  kinesiophobia  influence factor

中文摘要:

      目的 探讨老年冠心病患者行经皮冠状动脉介入治疗(PCI)术后恐动症发生率和分析相关影响因素.方法 选取于2023年9月至2024年9月期间在中国医学科学院北京协和医院收治的172例PCI术后老年冠心病患者,采用自制一般资料调查表、心脏疾病患者运动恐惧量表、维克森林医师信任量表、简易应对方式问卷和一般自我效能感量表进行调查.结果 172例PCI术后老年冠心病患者恐动症的发病率为40.70％(70/172).单因素分析示,恐动症与性别(x2=5.248,P=0.022)、婚姻状况(x2=5.891,P=0.015)、居住地(x2=8.438,P=0.004)、合并慢病种类(Z=-2.125,P=0.034)和自我效能感(t=-4.284,P＜0.001)显著相关.多因素Logistic回归分析表明,非婚状态(OR=2.957,95％CI:1.323～6.611)、女性(OR=0.435,95％CI:0.210～0.892)、合并 1～2 种慢病(OR=4.620,95％CI:1.792～11.906)和低自我效能感(OR=0.907,95％CI:0.856～0.961)是PCI术后恐动症的独立影响因素(均P＜0.05).结论 老年冠心病患者PCI术后恐动症患病率较高,受性别、婚姻状况、合并慢病种类数和自我效能感影响,应针对高危人群实施早期筛查和个体化干预,改善患者康复效果.

英文摘要:

      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.