基于症状管理理论的慢性心力衰竭患者中与运动恐惧症相关的因素研究
1Ya'an Hospital of Traditional Chinese Medicine, Ya'an, Sichuan Province, China.
Medicine
|August 19, 2025
概括
慢性心力衰竭 (CHF) 患者的运动恐惧与症状严重程度,家庭功能不佳和社会支持不足有关. 解决这些因素可以帮助管理CHF患者的运动恐惧症.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 症状管理理论 症状管理理论
背景情况:
- 运动恐惧或运动恐惧症是慢性心力衰竭 (CHF) 患者的一个重要问题.
- 了解导致运动恐惧的因素对于开发有效的临床干预至关重要.
- 症状管理理论为研究慢性病患者经验提供了一个框架.
研究的目的:
- 调查诊断为慢性心力衰竭 (CHF) 的患者与运动恐惧相关的因素.
- 为设计有针对性的临床干预措施提供理论基础,以管理CHF的运动恐惧.
- 识别运动恐惧的独立预测因子,以告知个性化的患者管理策略.
主要方法:
- 一组300名心脏衰竭患者使用坦帕心脏运动恐惧症量表 (TSK-SV心脏) 进行了评估.
- 患者被分为"运动恐惧" (TSK-SV心脏>37) 和"没有恐惧" (TSK-SV心脏≤37) 组.
- 后勤回归分析被用来识别与运动恐惧相关的因素,比较症状状态问卷对心力衰竭得分,家庭功能障碍,社会支持和控制态度等级得分.
主要成果:
- 在300名CHF患者中,108人表现出运动恐惧.
- 与无恐惧组相比,运动恐惧组的心力衰竭得分显著更高,家庭功能障碍更大,社会支持较低,控制态度量表得分更低.
- 后勤回归确定了心力衰竭得分的症状状态问卷,家庭功能状态,社会支持水平和控制态度度等级得分作为影响运动恐惧的独立因素 (P < .05).
结论:
- 慢性心血管疾病患者的运动恐惧是多因素的,受症状负担,家庭动态,社会支持和感知控制的影响.
- 这些发现凸显了整体方法对管理CHF的动态恐惧症的重要性.
- 该研究为制定针对这些已识别的因素的个性化管理策略提供了基础.
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