Exercise fear condition in patients with coronary heart disease participating in phase Ⅱ cardiac rehabil-itation after PCI and its influencing factors
10.3969/j.issn.1008-0074.2025.01.01
- VernacularTitle:冠心病经皮冠状动脉介入治疗术后参与Ⅱ期心脏康复患者运动恐惧状况及其影响因素
- Author:
Hong-xin HUANG
1
;
Yi-fan JIA
;
Kuan-lie JIANG
;
Xing-jue LI
;
Hua-kang WANG
;
Wei LU
Author Information
1. 海南医科大学管理学院,海南海口 571199
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Angioplasty,balloon,coronary;
Rehabilitation
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):1-6
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate exercise fear condition and its influencing factors in patients with coronary heart dis-ease(CHD)involving in phase Ⅱ cardiac rehabilitation after percutaneous coronary intervention(PCI).Methods:Conven-ience sampling was performed among cardiac rehabilitation patients from a Shanxi grade-A tertiary hospital between Janu-ary 2023 and June 2023.General data questionnaire,Tampa Scale for Kinesiophobia-Short Version for Heart patients(TSK-SV H),the Multidimensional Scale of Perceived Social Support(MSPSS)and the Post Percutaneous Coronary In-tervention Health Literacy Scale(PPCIHLS)were used for assessment.Pearson and Spearman rank correlation analyses were applied to investigate the relationships between social support factors and health literacy factors with patients'fear of exercise;multivariate linear regression models and quantile regression models were used to analyze the influencing factors of fear of exercise.Results:Among the 118 patients,average TSK-SV H score was(33.78±3.79)points;10.2％patients showed significant fear.The correlation analysis showed that PPCIHLS score was negatively correlated with TSK-SV H score(r=-0.423,P＜0.001).Results from multivariate regression analysis indicated that health literacy,cardiac func-tion class and drinking status affected the average score of exercise fear(P＜0.05 all).The quantile regression model pro-vided additional insights,showing that the impact of factors such as living situation,drinking status,cardiac function class and health literacy on exercise fear varied across different quantiles.Notably,cardiac function class had a consistently posi-tive effect on TSK-SV H score at various quantiles.Conclusion:Improving health literacy and tailored rehabilitation plans are vital to reduce exercise fear and improve cardiac rehabilitation effect.
