Mediating effect of cardiac impact denial between perceived cardiac rehabilitation barriers and cardiac rehabilitation adherence in elderly patients after PCI
10.3760/cma.j.cn115682-20241025-05831
- VernacularTitle:心脏影响否认在老年PCI术后患者感知心脏康复障碍与心脏康复依从性间的中介效应
- Author:
Lianlian SUN
1
;
Saiyan HUANG
1
;
Wenyu LI
1
;
Caixia HONG
1
;
Xiuqing CHEN
1
Author Information
1. 温州医科大学附属第一医院心血管内科，温州 325000
- Publication Type:Journal Article
- Keywords:
Percutaneous coronary intervention;
Cardiac rehabilitation;
Compliance;
Perceived cardiac rehabilitation barriers;
Cardiac impact denial
- From:
Chinese Journal of Modern Nursing
2025;31(12):1563-1568
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the impact of perceived barriers to cardiac rehabilitation on adherence to cardiac rehabilitation and the mediating effect of cardiac impact denial in elderly patients after percutaneous coronary intervention (PCI) .Methods:This study was a cross-sectional survey. From August 2023 to July 2024, 336 elderly patients with PCI who were discharged from the First Affiliated Hospital of Wenzhou Medical University and needed phaseⅡ cardiac rehabilitation were selected for the study. General Information Questionnaire, Adherence of Cardiac Rehabilitation Assessment Scale in Patients with Coronary Heart Disease (ACRAS-CHD) , Cardiac Rehabilitation Barriers Scale (CRBS) , and Cardiac Denial of Impact Scale (CDIS) were used to survey the patients. Bootstrap method was used to sample 5 000 for mediating effect tests.Results:A total of 336 questionnaires were distributed and 324 valid questionnaires were recovered, with a valid recovery rate of 96.43% (324/336) . Among 324 elderly patients after PCI, ACRAS-CHD score, CRBS score, and CDIS score were (73.19±5.46) , (79.35±6.60) , and (30.57±3.66) , respectively. The direct effect of perceived barriers to cardiac rehabilitation on adherence to cardiac rehabilitation in elderly patients after PCI was -0.368, which accounted for 74.49% (-0.368/-0.494) of the total effect. The mediating effect of cardiac impact denial between perceived barriers to cardiac rehabilitation and adherence to cardiac rehabilitation in elderly patients after PCI was -0.126, which accounted for 25.51% of the total effect (-0.126/-0.494) .Conclusions:Elderly patients after PCI have poor adherence to cardiac rehabilitation. Perceived cardiac rehabilitation barriers reduce cardiac rehabilitation adherence in elderly patients after PCI, and cardiac impact denial exerts a partial mediating effect between perceived cardiac rehabilitation barriers and cardiac rehabilitation adherence.
