[1]任鹏娜,张月,丁琳,等.运动恐惧在急性心肌梗死经皮冠状动脉介入治疗术后患者自我效能与运动依从性间的中介效应[J].军事护理,2022,39(01):21-24.[doi:10.3969/j.issn.1008-9993.2022.01.006]
　REN Pengna,ZHANG Yue,DING Lin,et al.The Mediating Effect of Kinesophobia on Self-Efficacy and Exercise adherence in Patients with Acute Myocardial Infarction after PCI[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):21-24.[doi:10.3969/j.issn.1008-9993.2022.01.006]
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运动恐惧在急性心肌梗死经皮冠状动脉介入治疗术后患者自我效能与运动依从性间的中介效应
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年01期
页码:
21-24
栏目:
论著
出版日期:
2022-01-15

文章信息/Info

Title:
The Mediating Effect of Kinesophobia on Self-Efficacy and Exercise adherence in Patients with Acute Myocardial Infarction after PCI
文章编号:
1008-9993(2022)01-0021-04
作者:
任鹏娜1; 张月2; 丁琳3; 汤爱玲2; 董里2; 葛颜2; 袁红艳4; 许方蕾2; 朱张逸1
(1.同济大学 医学院,上海 200092; 2.同济大学附属同济医院 护理部,上海 200065; 3.同济大学附属同济医院 心内科; 4.上海市奉贤区中心医院 心内科,上海201406)
Author(s):
REN Pengna1; ZHANG Yue2; DING Lin3; TANG Ailing2; DONG Li2; GE Yan2; YUAN Hongyan4; XU Fanglei2; ZHU Zhangyi1
(1.Medical College of Tongji University,Shanghai 200092,China; 2.Department of Nursing,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China; 3.Department of Cardiology,Tongji Hospital Affiliated to Tongji University; 4.Department of Cardiology,Shanghai Fengxian District Central Hospital,Shanghai 201406,China)
关键词:
急性心肌梗死;  经皮冠状动脉介入治疗;  自我效能;  运动恐惧;  运动依从性;  中介效应
Keywords:
Acute myocardial infarction;  PCI;  self-efficacy;  kinesophobia;  exercise adherence;  mediating effect
分类号:
R473.54
DOI:
10.3969/j.issn.1008-9993.2022.01.006
文献标志码:
A
摘要:
目的 探讨运动恐惧在急性心肌梗死经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者自我效能与运动依从性间的中介效应。方法 采用便利抽样法,于2021年5-8月选取上海2所医院心内科急性心肌梗死行PCI术的435例患者,采用心脏病患者运动恐惧量表、运动自我效能量表、运动依从性量表对其进行调查。结果 急性心肌梗死PCI术后患者运动依从性总分为(1.98±1.10)分,处于中等水平; 自我效能与运动依从性呈正相关(r=0.511,P<0.01),运动恐惧与自我效能、运动依从性呈负相关(r=-0.27、-0.501; 均P<0.01)。中介模型显示,自我效能对运动依从性存在直接正向预测作用,运动恐惧在自我效能与运动依从性间起部分中介效应,贡献率为25.05%。结论 自我效能可通过运动恐惧间接影响急性心肌梗死PCI术后患者运动依从性,医护人员应采取系统化措施降低患者的运动恐惧程度,增强其自我效能,进而提高运动依从性。
Abstract:
Objective To explore the mediating effect of kinesophobia on self-efficacy and exercise adherence in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods By convenience sampling method,435 patients with AMI who underwent PCI in the Department of cardiology of two hospitals in Shanghai from May to August 2021 were investigated with Exercise Fear Scale,Exercise Self-Efficacy Scale and Exercise Adherence Scale.Results The total score of exercise adherence of patients with AMI after PCI was(1.98±1.10),which was at the middle level.Self-efficacy was positively correlated with exercise adherence(r=0.511,P<0.01),and kinesophobia was negatively correlated with self-efficacy and exercise adherence(r=-0.27,-0.501, all P<0.01).The intermediary model showed that self-efficacy had a direct positive predictive effect on exercise adherence,and kinesophobia had a partial mediating effect between self-efficacy and exercise adherence,and the contribution rate of intermediary effect was 25.05%.Conclusions Self-efficacy can indirectly affect exercise adherence through kinesophobia.Doctors and nurses should take systematic measures to reduce patients' fear of exercise and enhance self-efficacy,so as to improve patients'exercise adherence.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-09-16 【 修回日期 】 2021-11-26
【 基金项目 】 上海市同济医院国自然培育项目(TJ2038); 上海市普陀区卫生健康委员研究课题(2021PTGL16)
【 作者简介 】 任鹏娜,硕士在读,研究方向:慢性病护理
【 通信作者 】 许方蕾,电话:021-66111326
更新日期/Last Update: 2022-01-15