心脏病患者运动恐惧干预研究的范围综述

doi:10.3761/j.issn.1672-9234.2026.10.020

摘要/Abstract

摘要：

目的对心脏病患者运动恐惧的干预研究进行范围综述，为后续研究及临床实践提供依据。方法检索中国知网、万方、Web of Science、PubMed、Cochrane Library、Embase、Scopus、CINAHL plus、PsycINFO数据库，检索时间为建库至2025年11月30日。2名研究者独立筛选文献和提取资料。结果共纳入29篇文献，包括16篇随机对照试验和13篇类实验研究。干预对象大多为经皮冠状动脉介入治疗术后患者；干预形式包括线上、线下及线上线下结合的方式，干预内容包括认知干预、情绪干预、行为干预及社会支持干预，且多数研究为联合干预；实施人员多为多学科团队，应用场景覆盖病房、门诊及居家等；结果显示绝大多数干预后患者运动恐惧评分有所降低，此外，干预后心肺功能、心理状态等其他指标均有不同程度的改善效果。结论心脏病患者运动恐惧干预措施多元，干预剂量差别较大，干预效果虽在多数研究中得以证实，但仍无统一结论。未来可进一步扩大样本量、优化设计、增加长期随访，以提升研究质量，为心脏病患者康复提供更有力的证据和参考。

关键词: 心脏病, 运动恐惧, 干预, 范围综述

Abstract:

Objective To conduct a scoping review of the current interventions for kinesiophobia in patients with heart disease，and to provide evidence for future research and clinical practice. Methods A literature search was conducted in 9 databases including CNKI，Wanfang Data，Web of Science，PubMed，The Cochrane Library，Embase，Scopus，CINAHL plus，and PsycINFO from their inception to November 30，2025. Data were independently screened and extracted by two researchers. Results A total of 29 articles were included with 16 randomized controlled trials and 13 quasi-experimental studies. Participants in majority of the studies were patients after percutaneous coronary intervention. The forms of intervention delivery included online，offline，and hybrid methods. The intervention components included cognitive intervention，emotional intervention，behavioral intervention，and social support intervention. Most studies adopted at least two components. The interventions were mostly delivered by multidisciplinary teams and implemented across settings including wards，outpatient clinics，and homebased settings. The results of most studies showed that the kinesiophobia level was significantly decreased after the intervention. In addition，cardiopulmonary function indicators and psychological status were also improved. Conclusion Intervention for kinesiophobia in patients with heart diseases has multiple components and diverse doses. The effect of the inventions on kinesiophobia was confirmed by most studies while consistent conclusion cannot be obtained. Future studies can further expand the sample size，optimize the research design，and increase the length of follow-up to improve the research quality and provide stronger evidence and support for cardiac rehabilitation.

Key words: Heart Diseases, Kinesiophobia, Intervention, Scoping Review

高慧, 张籼宇, 丁艺祺, 于明明. 心脏病患者运动恐惧干预研究的范围综述[J]. 中华护理教育, 2026, 23(10): 1272-1280.

GAO Hui, ZHANG Xianyu, DING Yiqi, YU Mingming. Interventions for kinesiophobia in patients with heart diseases：a scoping review[J]. Chinese Journal of Nursing Education, 2026, 23(10): 1272-1280.

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