鉴定通过皮肤冠状动脉干预后患者中导致动态恐惧症的因素
Lu Chen1, Jiang-Ying Li1, Zhen-Qing Ren2
1Department of cardiology, Taizhou School of Clinical Medicine, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Nanjing Medical University, Taizhou, 225300, China.
BMC nursing
|February 14, 2025
概括
穿皮冠状动脉干预 (PCI) 后对运动的恐惧 (运动恐惧症) 源于压力,运动不确定性,低自我效能和缺乏支持. 解决这些因素是坚持心脏康复的关键.
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:
- 穿皮冠状动脉干预 (PCI) 是冠状动脉疾病的常见程序.
- 运动恐惧症,或对身体运动的恐惧,对于PCI后的患者来说,可能是一个重要的障碍.
- 了解导致动态恐惧症的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 研究通过皮肤冠状动脉干预 (PCI) 后患者的运动恐惧症的多方面的因素.
- 确定心理,社会和自我效能相关的因素,这些因素加剧了这种患者群体对运动的恐惧.
主要方法:
- 半结构面试与PCI后的14名患者和4名医疗保健专业人员进行.
- 有目的的抽样确保了参与者符合特定的纳入和排除标准.
- 采用Colaizzi的七步方法对收集的定性数据进行了主题分析.
主要成果:
- 四个主要主题出现了:心理压力增加,对运动的不确定性增加,自我效能降低,支持系统不足.
- 这些因素共同导致PCI后患者的运动恐惧症的发展和持续.
- 这些发现突出了影响患者行为心理和社会决定因素的复杂相互作用.
结论:
- 运动恐惧症显著阻碍了对基本心脏康复方案的遵守.
- 早期识别和彻底分析导致动态恐惧症的因素至关重要.
- 根据这些因素制定有针对性的干预策略,可以提高康复的坚持,改善长期的心血管健康.
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