冠心病PCI术后病人运动恐惧与焦虑抑郁和自我感受负担的相关性分析

    Correlation analysis of exercise fear, anxiety, depression, and self-perceived burden in patients with coronary heart disease after PCI

    • 摘要:
      目的 探讨冠心病经皮冠状动脉介入术(PCI)术后病人运动恐惧与焦虑抑郁和自我感受负担的相关性。
      方法 采用便利抽样法选取114例PCI术后冠心病病人作为调查对象, 使用一般资料量表、心脏病病人运动恐惧量表(TSK-SV Heart)、医院焦虑抑郁量表(HADS)、自我感受负担量表(SPBS)进行调查。
      结果 114例冠心病PCI术后病人TSK-SV Heart得分为(42.26±5.78)分, 其中得分≥37分的病人91例(占79.82%);焦虑得分为(6.82±4.51)分, 抑郁得分为(3.70±3.10)分, SPBS得分为(24.87±7.96)分;冠心病PCI术后病人运动恐惧与焦虑、抑郁和SPBS均呈正相关(P < 0.05);单因素分析结果显示: 性别、长期居住地、文化程度、职业、家庭人均月收入和主要经济来源是PCI术后病人运动恐惧的影响因素(P < 0.05~P < 0.01);多重线性回归分析结果显示: 长期居住地是冠心病PCI术后病人运动恐惧的影响因素(P < 0.01)。
      结论 冠心病PCI术后病人运动恐惧处于较高水平, 病人运动恐惧水平与焦虑抑郁、自我感受负担存在正相关关系。

       

      Abstract:
      Objective To explore the correlation between exercise fear, anxiety, depression, and self-perceived burden in patients with coronary heart disease after PCI.
      Methods Convenience sampling was used to select 114 patients with coronary heart disease after PCI as the survey subjects.The general information scale, heart disease patient exercise fear scale (TSK-SV Heart), hospital anxiety and depression scale (HADS), and self-perceived burden scale (SPBS) were used for the survey.
      Results The TSK-SV Heart score of 114 patients with coronary heart disease after PCI was (42.26±5.78) points, of which 91 patients (79.82%) scored ≥37 points.The anxiety score was (6.82±4.51) points, the depression score was (3.70±3.10) points, and the SPBS score was (24.87±7.96) points.There was a positive correlation between exercise fear, anxiety, depression, and SPBS in patients with coronary heart disease after PCI (P < 0.05).The results of univariate analysis showed that gender, long-term place of residence, education level, occupation, per capita monthly income of families, and main sources of income were the influencing factors of exercise fear in patients after PCI(P < 0.05 to P < 0.01).The results of multiple linear regression analysis showed that long-term residence was a factor influencing exercise fear in patients with coronary heart disease after PCI (P < 0.01).
      Conclusions Patients with coronary heart disease undergoing PCI have a high level of exercise fear, which is positively correlated with anxiety, depression, and self-perceived burden.

       

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