Rehabilitation exercise attitudes and compliance of patients undergoing coronary artery bypass grafting and their influencing factors
10.3760/cma.j.cn115682-20230224-00694
- VernacularTitle:冠状动脉旁路移植术患者康复运动态度和依从性现状及影响因素分析
- Author:
Jing ZHANG
1
;
Jiashuai ZHANG
;
Jianling DING
;
Jianshuang TAO
;
Xiuxiu TAO
;
Yanli BEN
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830011
- Keywords:
Coronary artery bypass;
Rehabilitation nursing;
Exercise;
Attitude;
Compliance;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2023;29(12):1569-1575
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status quo of exercise rehabilitation attitudes and compliance in patients undergoing coronary artery bypass grafting (CABG), and analyze the influencing factors, so as to provide evidence for improving the compliance of rehabilitation exercise in CABG patients.Methods:From January to August 2022, convenience sampling was used to select 228 patients with CABG in three ClassⅢ Grade A hospitals in Urumqi City as the survey subject. One month after surgery, a questionnaire survey was conducted using the General Information and Disease Information Questionnaire, the Questionnaire of Rehabilitation Exercises (QRE), the Chinese version of the Tampa Scale of Kinesiophobia for the Heart (TSK Heart), and the Chinese version of the Multidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF-C). This study conducted a latent category analysis of rehabilitation exercise attitudes and compliance among CABG patients, and identified the influencing factors of their latent categories through Logistic regression. A total of 220 valid questionnaires were collected, with an effective recovery rate of 96.49% (220/228) .Results:The fitting results of latent category analysis showed that the rehabilitation exercise attitudes and compliance of 220 CABG patients could be divided into 4 latent categories, which were respectively named as: excellent attitude-excellent compliance group, good attitude-single exercise group, moderate attitude-poor compliance group, poor attitude-poor compliance group. Logistic regression showed that education level, nationality, pain, exercise fear and fatigue were independent influencing factors for the latent categories of exercise rehabilitation attitudes and compliance in CABG patients ( P<0.05) . Conclusions:Postoperative exercise rehabilitation attitudes and compliance in CABG patients have 4 latent categories, and patient education level, nationality, pain, exercise fear and fatigue are all factors that affect compliance. Medical and nursing workers should formulate targeted interventions based on influencing factors to improve the compliance of exercise rehabilitation in patients with CABG.
