Ecaluation of effect of cognitive behavior therapy on kinesiophobia in elderly patients with coronary heart disease during rehabilitation period
10.3969/j.issn.1006-2483.2025.05.033
- VernacularTitle:老年冠心病康复期患者运动恐惧的认知行为疗法效果评估
- Author:
Ziyan TONG
1
;
Yamin ZHANG
1
;
Rutao WANG
1
;
Haokao GAO
1
Author Information
1. Department of Cardiovascular Medicine , Xijing Hospital , Air Fourth Medical University , Xi'an , Shaanxi 710032 , China
- Publication Type:Journal Article
- Keywords:
Elderly;
Coronary heart disease;
Rehabilitation exercise;
Kinesiophobia;
Cognitive behavior therapy
- From:
Journal of Public Health and Preventive Medicine
2025;36(5):149-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and analyze the related factors of kinesiophobia in elderly patients with coronary heart disease (CHD) during cardiac rehabilitation exercise period, and to evaluate the effect of cognitive behavior therapy on improving kinesiophobia and promoting rehabilitation. Methods A total of 352 elderly patients with CHD admitted to the hospital were included from October 2023 to October 2024. Tampa Scale for Kinesiophobia-11 (TSK-11) was adopted to evaluate the kinesiophobia status. Patients with kinesiophobia were randomly grouped. Routine intervention (routine group, n=82) and cognitive behavior intervention (study group, n=82) were implemented respectively. The intervention effects were observed in both groups. Results Among the 352 patients, 46.59 % (164/352 ) of elderly patients with coronary heart disease had different degrees of kinesiophobia. The proportions of female, divorced/widowed, revascularization and family relationship disharmony and scores of Patient Health Questionnaire (PHQ9) and Generalized Anxiety Disorder Scale (GAD7) in patients with kinesiophobia were higher than those in patients without kinesiophobia (P<0.05) while the scores of General Self-Efficacy Scale (GSES) and Social Support Rating Scale (SSRS) were lower compared with those in patients without kinesiophobia (P<0.05). Logistic regression analysis found that female, divorced/widowed, family relationship disharmony, revascularization and scores of PHQ9, TSK-11, GAD7, GSES and SSRS were related to kinesiophobia (P<0.05). After intervention, the scores of TSK-11, PHQ9 and GAD7 in the study group were lower while the scores of GSES and SSRS, 6 min walking test distance, and cardiopulmonary exercise test peak oxygen uptake and anaerobic threshold were higher compared to the routine group (P<0.05). Conclusion The kinesiophobia in elderly patients with CHD during cardiac rehabilitation is related to gender, revascularization and psychosocial factors. Clinically, cognitive behavior intervention should be provided according to the situation and guided to carry out rehabilitation exercise regularly so as to promote improvement of cardiopulmonary function.
