Effect of illness perception on cardiac rehabilitation willingness in patients with coronary heart disease: the mediating role of kinesophobia
10.3760/cma.j.cn115682-20230611-02338
- VernacularTitle:疾病感知对冠心病患者心脏康复意愿的影响：恐动症的中介作用
- Author:
Qiuhua XUE
1
;
Jianlin DU
;
Xumin XIN
;
Guangsu QU
Author Information
1. 重庆医科大学附属第二医院心血管内科，重庆 400010
- Keywords:
Coronary heart disease;
Kinesiophobia;
Cardiac rehabilitation;
Illness perception;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2023;29(30):4085-4090
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of kinesiophobia in the relationship between illness perception and cardiac rehabilitation willingness among patients with coronary heart disease.Methods:Using the convenient sampling method, a total of 255 patients with coronary heart disease who were admitted to Cardiovascular Department of the Second Affiliated Hospital of Chongqing Medical University from June to September 2022 were selected as the research objects. The survey was conducted using a general information questionnaire, Chinese version of the Tampa Scale for Kinesiophobia Heart (TSK-Heart-C) , Heart Rehabilitation Scale and Chinese version of Brief Illness Perception Questionnaire.Results:The total score of TSK-Heart-C in 255 patients with coronary heart disease was (38.53±9.27) , the total score of Heart Rehabilitation Scale was (49.90±12.53) , and the total score of Chinese version of Brief Illness Perception Questionnaire was (53.04±15.90) . Disease perception had a direct effect on heart rehabilitation willingness (β=-0.378, P<0.01) , kinesiophobia played a mediating role between illness perception and heart rehabilitation willingness (β=-0.254, P<0.01) , and the mediating effect accounted for 40.19% of the total effect. Conclusions:Kinesiophobia is a mediating variable between cardiac rehabilitation willingness and illness perception. Medical staff should pay attention to the level of kinesiophobia in patients with coronary heart disease, provide correct health education, improve patients' correct understanding and compliance with the disease, take correct cardiac rehabilitation measures and effectively improve quality of life of patients.
