| 孙红霞,方钞,田蓓,黄静.院外早期康复阶段中青年初发急性心肌梗死患者的恐动现状和影响因素分析[J].上海护理,2026,26(6): |
| 院外早期康复阶段中青年初发急性心肌梗死患者的恐动现状和影响因素分析 |
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| DOI: |
| 中文关键词: 急性心肌梗死 恐动 现状 影响因素 |
| 英文关键词:Acute myocardial infarction Kinesiophobia Current status Influencing factors |
| 基金项目:上海市浦东新区重点学科群建设心血管病学科(编号:PWZxq2022-11);浦东新区科委项目(编号:PKJ2024-Y109);浦东新区周浦医院院内人才项目(编号:ZPRC-2024B-08);上海市重点学科建设心血管病学科(2024ZDXK0019), |
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| 中文摘要: |
| 目的:调查院外早期康复阶段中青年初发急性心肌梗死患者的恐动现状并分析其影响因素,为院外早期康复阶段中青年初发急性心肌梗死患者运动康复的干预提供参考。方法:采用便利抽样法,选取2023年6月至 2024年6月在上海浦东新区两所三乙医院的302例患者为研究对象;采用一般资料调查表、心脏恐动症量表、心脏焦虑问卷、运动自我效能量表、社会支持评定量表对患者进行调查;采用多元线性回归分析研究患者恐动水平的影响因素。结果:首发急性心肌梗死患者运动恐惧总分的中位数为 47(42,49)分;多元线性回归分析结果显示,年龄、职业状态、出院天数、心脏焦虑、运动自我效能和社会支持是影响院外早期康复阶段中青年初发急性心肌梗死患者的恐动水平的重要因素。结论 :院外早期康复阶段中青年初发急性心肌梗死患者的恐动水平较高,医护人员应重视急性心肌梗死患者恐动水平的早期评估及干预,提高患者心脏运动康复参与度,促进患者的康复。 |
| 英文摘要: |
| [Abstract] Objective: To investigate the current status of kinesiophobia among young and middle-aged patients with first-onset acute myocardial infarction during the early out-of-hospital rehabilitation stage and analyze its influencing factors, so as to provide a reference for the intervention of exercise rehabilitation for young and middle-aged patients with first-onset acute myocardial infarction during the early out-of-hospital rehabilitation stage. Methods: Using the convenience sampling method, 302 patients from two Grade III Class B hospitals in Pudong New Area, Shanghai from June 2023 to June 2024 were selected as the research subjects. The patients were surveyed with a general information questionnaire, the Cardiac Kinesiophobia Scale, the Cardiac Anxiety Questionnaire, the Exercise Self-Efficacy Scale, and the Social Support Rating Scale. Multiple linear regression analysis was used to study the influencing factors of the patients' kinesiophobia level. Results: The median total score of exercise fear in patients with first-onset acute myocardial infarction was 47 (42, 49) points. The results of multiple linear regression analysis showed that age, occupational status, days since discharge, cardiac anxiety, exercise self-efficacy, and social support were important factors affecting the kinesiophobia level of young and middle-aged patients with first-onset acute myocardial infarction during the early out-of-hospital rehabilitation stage. Conclusion: The kinesiophobia level of young and middle-aged patients with first-onset acute myocardial infarction during the early out-of-hospital rehabilitation stage is relatively high. Medical staff should attach importance to the early assessment and intervention of the kinesiophobia level of patients with acute myocardial infarction, improve the patients' participation in cardiac exercise rehabilitation, and promote the patients' recovery. |
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