Factors influencing the physical activity of patients receiving a percutaneous coronary intervention soon after discharge
10.3760/cma.j.cn421666-20250217-00140
- VernacularTitle:冠心病PCI治疗患者院外早期康复阶段体力活动水平及影响因素分析
- Author:
Qing WEN
1
;
Xiaorong MAO
;
Xiaoli TANG
;
Haiyan WU
;
Xiaojuan YANG
;
Juan CHENG
;
Qunhua MA
Author Information
1. 四川省医学科学院·四川省人民医院（电子科技大学附属医院）心血管内科1，成都 610072
- Publication Type:Journal Article
- Keywords:
Heart disease;
Percutaneous coronary intervention;
Physical activity
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(9):792-798
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the physical activity level of patients treated with a percutaneous coronary intervention (PCI) for coronary artery disease in the early out-of-hospital recovery phase, and the factors influencing it.Methods:Patients who had been discharged within the previous 6 months after their first PCI treatment were surveyed using a general information questionnaire, the long form of the International Physical Activity Questionnaire (IPAQ), the Chinese version of the Tilburg Frailty Scale, the Social Support Rating Scale, and for their ability in the activities of daily living. Epidemiological descriptive methods were used to analyze the reported physical activity levels, and multifactoral logistic regression was applied to explore the influencing factors. The receiver operating characteristics (ROC) curve was drawn to evaluate the predictive value of the risk factors.Results:A total of 394 former patients were surveyed, including 117 (30%) reporting a low level of physical activity, 202 (51%) describing a moderate level and 75 (19%) claiming a high level. The univariate analysis revealed significant differences in physical activity levels among those of different ages, with different chronic co-morbidities, and with different frailty and self-care ability. Multifactoral logistic regression analysis showed that advanced age, chronic co-morbidities, frailty and little self-care ability are significant predictors of a low level of physical activity. The area under the ROC curve for predicting the physical activity level by combining those four factors was 0.89 (95% CI 0.84-0.94), with a sensitivity of 0.89 and a specificity of 0.80. Conclusions:The physical activity level of patients treated with PCI for coronary disease is moderately low early after their release from the hospital. Targeted intervention to increase it is called for.
