患有急性甲型大动脉剖析的患者的术后运动恐惧症:一个横截面研究
Yaqiong Chen1,2, Yanchun Peng1,2, Xizhen Huang1,2
1Department of Nursing, Union Hospital, Fujian Medical University, 350122 Fuzhou, Fujian, China.
Reviews in cardiovascular medicine
|September 4, 2024
概括
在急性A型大动脉剖析 (AAAD) 患者中,术后运动恐惧症很常见. 教育和自我效能等因素可以减少对运动的恐惧,而避开风格则会增加恐惧.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 急性A型大动脉解剖 (AAAD) 是一种需要手术干预的危急心血管疾病.
- 手术后的运动恐惧,对运动的恐惧,是AAAD幸存者的研究不足但显著的担忧.
- 了解运动恐惧症的患病率和促成因素对于有效的患者康复至关重要.
研究的目的:
- 在AAAD手术后的患者中确定术后运动恐惧症的患病率.
- 为了确定与这种患者群体中运动恐惧症的发展或缓解相关的因素.
- 为了告知临床实践关于AAAD恢复的心理和社会方面.
主要方法:
- 一项涉及264名在2019年1月至2021年12月期间接受AAAD手术治疗的患者的横截面研究.
- 动态恐惧症评估使用验证的动态恐惧症心脏坦帕尺度 (TSK-SV-HEART).
- 统计分析包括单变量和多变量逻辑回归来确定影响因素.
主要成果:
- 术后运动恐惧症平均得分为38.15 (±6.66),在研究的AAAD患者中患病率为46.2%.
- 多变量分析表明,高等教育水平,更高的一般自我效能,更高的家庭照顾指数和"面对"应对风格与减少的运动恐惧症有关.
- 相反",回避"和"屈服"的应对方式与术后运动恐惧症的增加有显著的关联.
结论:
- 术后运动恐惧症对从AAAD中康复的患者来说是一个巨大的挑战,它影响了近一半的队列.
- 影响运动恐惧症的关键因素包括教育背景,自我效能,家庭支持和应对机制.
- 医疗保健提供者应在术后康复期间主动选和解决运动恐惧症,以优化患者的治疗结果.
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