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The Later Status and Impact Factors of Physical Activity among Patients after Percutaneous Coronary Intervention in

Fangli Liu1, Jingyi Han2, Yingying Wang3

  • 1Fangli Liu, College of Nursing and Health, Henan University, Kaifeng, China;,

American Journal of Health Behavior
|February 1, 2023
PubMed

Insights

Most patients after percutaneous coronary intervention (PCI) do not meet physical activity guidelines. Factors like fatigue and low exercise self-efficacy impact activity levels, highlighting the need for improved rehabilitation education.

Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for coronary heart disease (CHD).
  • Post-PCI physical activity is crucial for cardiovascular health and recovery.
  • Understanding physical activity status and influencing factors in post-PCI patients is vital for effective management.

Purpose of the Study:

  • To investigate the physical activity status of patients one year after PCI in China.
  • To identify the key factors influencing physical activity levels in this patient population.

Main Methods:

  • A cross-sectional survey involving 260 post-PCI patients from two hospitals in Henan Province.
  • Utilized validated questionnaires including the International Physical Activity Questionnaire-Long Form, Exercise Self-efficacy, Fatigue Scale, Social Support Scale, and Hospital Anxiety and Depression Scale.

Main Results:

  • A significant majority (60.8%) of patients did not meet recommended physical activity guidelines post-PCI.
  • Physical activity levels were significantly associated with NYHA classification, LVEF, exercise self-efficacy, fatigue, and social support.
  • Most patients engaged in low to moderate intensity physical activity.

Conclusions:

  • Physical activity levels in post-PCI patients require significant improvement.
  • Healthcare providers, particularly nursing practitioners, should enhance health education on exercise rehabilitation.
  • Targeting factors like self-efficacy and fatigue can improve physical activity and potentially reduce cardiovascular events.

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