Latent profile analysis and influencing factors of phaseⅡ cardiac rehabilitation barriers in patients after coronary artery bypass grafting
10.3760/cma.j.cn115682-20241223-07033
- VernacularTitle:冠状动脉旁路移植术后患者Ⅱ期心脏康复障碍潜在剖面分析及影响因素研究
- Author:
Jia LIN
1
;
Yun ZHAO
;
Yi WANG
;
Qiwei SHEN
;
Qinqin HUANG
;
Jieyao SHI
;
Li FENG
Author Information
1. 上海市老年医学中心手术室，上海 201104
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
Cardiac rehabilitation;
Latent profile analysis;
Fear of exercise
- From:
Chinese Journal of Modern Nursing
2025;31(24):3293-3299
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent categories of barriers to PhaseⅡ cardiac rehabilitation in patients after coronary artery bypass grafting (CABG), and to analyze the influencing factors of different latent classes.Methods:A total of 340 CABG patients in PhaseⅡ cardiac rehabilitation were recruited by convenience sampling from two Class Ⅲ Grade A hospitals in Shanghai between January and August 2024. Data were collected using a general information questionnaire, the Cardiac Rehabilitation Barriers Scale (CRBS), and the Fear of Exercise Scale for Cardiac Patients. Latent profile analysis was used to classify the cardiac rehabilitation barriers, and multinomial Logistic regression was conducted to identify influencing factors for different latent classes.Results:Of the 340 questionnaires distributed, 319 valid responses were obtained after excluding incomplete or patterned questionnaires, with a valid response rate of 93.82% (319/340). The cardiac rehabilitation barriers among the 319 CABG patients were classified into three latent profiles: low-barrier, active rehabilitation type; moderate-barrier, poor-functioning type; and moderate-barrier, insufficient-perception type. Multinomial logistic regression analysis indicated that smoking, comorbidities, age, educational level, and fear of exercise were statistically significant influencing factors for different barrier profiles ( P<0.05) . Conclusions:Cardiac rehabilitation barriers in CABG patients exhibit heterogeneity. Medical staff should adopt targeted intervention strategies based on the specific barrier profiles, reduce patients' fear of exercise, and thereby improve rehabilitation outcomes.
