Analysis of influencing factors of kinesiophobia in patients after cardiac valve surgery under cardiopulmonary bypass
10.3760/cma.j.cn211501-20221201-03672
- VernacularTitle:体外循环下心脏瓣膜手术后患者运动恐惧的影响因素分析
- Author:
Min YOU
1
;
Chunfeng LU
;
Yaling HU
;
Mingqi DONG
;
Lan LAN
;
Huali FENG
;
Jianping SONG
Author Information
1. 浙江大学医学院附属第二医院护理部，杭州 310000
- Keywords:
Extracorporeal circulation;
Cardiac valve surgery;
Kinesiophobia;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2023;39(33):2613-2619
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To know the current situation of kinesiophobia in patients after cardiac surgery under cardiopulmonary bypass, and to clarify its influencing factors, so as to provide reference for developing intervention strategies to improve kinesiophobia level.Methods:This was a cross-sectional study. From February 2022 to September 2022, the patients after cardiac valve surgery under cardiopulmonary bypass in the Second Affiliated Hospital Zhejiang University School of Medicine were investigated by convenience sampling methods. The survey was conducted using the General Information Questionnaire, The Tampa Scale for Kinesiophobia Heart, Exercise Self-Efficacy Scale, Pain Catastrophizing Scale, and Adaptation, Partnership, Growth, Affection and Resolve(APGAR) as research tools, and the influencing factors were analyzed using univariate and binary Logistic regression analysis.Results:A total of 219 patients were included, of which 97 patients (44.3%) had kinesiophobia. The results of binary Logistic regression analysis showed that monthly family income level, first time out of bed after operation, fear of falling, the family APGAR, and pain catastrophizing were significant influencing factors of kinesiophobia in patients after heart valve surgery under cardiopulmonary bypass (all P<0.05). Conclusions:The prevalence of kinesiophobia is high among patients after heart valve surgery under cardiopulmonary bypass. Clinicians should pay attention to patients with low monthly family income level, late first time out of bed after surgery, and fear of falling, as well as strengthen communication with patients and families, focus on the management of acute postoperative pain. In order to reduce or avoid the occurrence of kinesiophobia and enable patients to benefit from early ambulation.
