运动自我效能在冠心病患者运动恐惧和体育活动量间的中介作用

doi:10.3761/j.issn.1672-9234.2022.12.013

Abstract

Abstract:

Objective To investigate the current status of amount of physical activity，kinesiophobia and exercise self-efficacy in patients with coronary heart disease，and to analyze the mediating role of exercise self-efficacy between kinesiophobia and amount of physical activity. Methods Convenience sampling was conducted with a total of 276 outpatient review patients with coronary heart disease admitted to the department of cardiology in a Grade Ⅲ level A hospital in Ganzhou city，Jiangxi Province from December 2020 to March 2021. General data questionnaire，Physical Activity Rank Scale，Tampa Scale for Kinesiophobia Heart，Exercise Self-efficacy Scale were employed. Results The total score of physical activity，kinesiophobia and exercise self-efficacy in patients with coronary heart disease was（17.58±14.09），（36.32±5.04），and（54.10±26.03），respectively. Exercise self-efficacy played a part of mediating effect between kinesiophobia and physical activity（β=-0.263，P<0.01），and effect ratio was 49.94%. Conclusion Patients with coronary heart disease hold a low level of physical activity. Kinetophobia can directly affect the physical activity of patients with coronary heart disease，and can indirectly affect the physical activity through exercise self-efficacy.

Key words: Coronary Disease, Sports, Self Efficacy, Questionnaires, Kinesiophobia

HUANG Rong, DING Mei, HUANG Huahua, ZHANG Huawei. Mediating effect of exercise self-efficacy between kinesiophobia and amount of physical activity in patients with coronary heart disease[J].Chinese Journal of Nursing Education, 2022, 19(12): 1119-1123.

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References 23

[1]	Wang W, Hu M, Liu H, et al. Global Burden of Disease Study 2019 suggests that metabolic risk factors are the leading drivers of the burden of ischemic heart disease[J]. Cell Metab, 2021, 33(10):1943-1956. doi: 10.1016/j.cmet.2021.08.005 pmid: 34478633
[2]	《中国心血管健康与疾病报告》编写组. 《中国心血管健康与疾病报告2020》要点解读[J]. 中国心血管杂志, 2021(3):209-218.
[3]	Caspersen CJ, Powell KE, Christenson GM. Physical activity,exercise,and physical fitness:definitions and distinctions for health-related research[J]. Public Health Rep, 1985, 100(2):126-131. pmid: 3920711
[4]	刘遂心, 丁荣晶, 胡大一. 冠心病康复与二级预防中国专家共识[J]. 中华心血管病杂志, 2013(4):267-275.
[5]	Kotseva K, de Backer G, de Bacquer D, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries:results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry[J]. Eur J Prev Cardiol, 2020, 26(8):824-835. doi: 10.1177/2047487318825350
[6]	Marques-Sule E, Söderlund A, Almenar L, et al. Influence on kinesiophobia by disability,physical,and behavioural variables after a heart transplantation[J]. Eur J Cardiovasc Nurs, 2022, 21(6):537-543. doi: 10.1093/eurjcn/zvab134
[7]	Bäck M, Jansson B, Cider A, et al. Validation of a questionnaire to detect kinesiophobia(fear of movement) in patients with coronary artery disease[J]. J Rehabil Med, 2012, 44(4):363-369. doi: 10.2340/16501977-0942
[8]	Lethem J, Slade PD, Troup JD, et al. Outline of a Fear-Avoidance Model of exaggerated pain perception:I[J]. Behav Res Ther, 1983, 21(4):401-408. pmid: 6626110
[9]	Knapik A, Dᶏbek J, Brzęk A. Kinesiophobia as a problem in adherence to physical activity recommendations in elderly Pol-ish patients with coronary artery disease[J]. Patient Prefer Adhe-rence, 2019, 13:2129-2135.
[10]	Bandura A. Social learning theory[M]. Engleweod Cliffs: Pren-tice-Hall, 1997:79.
[11]	庞玉华, 张会君, 刘涛, 等. 自我效能感在老年女性骨质疏松患者恐动症与体力活动间中介效应[J]. 中国公共卫生, 2020, 36(4):628-631.
[12]	叶任高. 内科学[M]. 5版. 北京: 人民卫生出版社, 2000:280-310.
[13]	Hashimoto K. Stress,exercise quality of life proceeding[C]. Bei-jing Asian Games Scientific Congress, 1990.
[14]	梁德清. 高校学生应激水平及其与体育锻炼的关系[J]. 中国心理卫生杂志, 1994(1):5-6.
[15]	汤莉娅. 心脏疾病运动恐惧量表的汉化及其在冠心病患者中的应用研究[D]. 长春: 吉林大学, 2020.
	Tang LY. Cross-cultural adaptation and validation of Tampa Scale for Kinesiophobia Heart and its application in patient with coronary heart disease[D]. Changchun: Jilin University, 2020.
[16]	Tung WC, Gillett PA, Pattillo RE. Applying the Transtheoretical Model to physical activity in family caregivers in Taiwan[J]. Public Health Nurs, 2005, 22(4):299-310. doi: 10.1111/j.0737-1209.2005.220405.x
[17]	陈影, 张爽, 姜宗良, 等. 社区老年冠心病患者久坐行为与衰弱的相关性研究[J]. 中国慢性病预防与控制, 2021(10):781-785.
[18]	Keessen P, den Uijl I, Visser B, et al. Fear of movement in patients attending cardiac rehabilitation:a validation study[J]. J Rehabil Med, 2020, 52(2):jrm00021.
[19]	Bakker EA, van Bakel BMA, Aengevaeren WRM, et al. Sedentary behaviour in cardiovascular disease patients:risk group identification and the impact of cardiac rehabilitation[J]. Int J Cardiol, 2021, 326:194-201. doi: 10.1016/j.ijcard.2020.11.014 pmid: 33186667
[20]	Acar S, Savci S, Keskinoğlu P, et al. Tampa Scale of Kinesiophobia for Heart Turkish Version Study:cross-cultural adaptation,exploratory factor analysis,and reliability[J]. J Pain Res, 2016, 9:445-451.
[21]	崔贵璞, 雷梦杰. 冠心病患者运动恐惧相关影响因素的研究[J]. 天津护理, 2019, 27(3):293-298.
	Cui GP, Lei MJ. Research on influence factors of kinesiopho-bia in patients with coronary disease[J]. Tianjin J Nurs, 2019, 27(3):293-298.
[22]	Leventhal H, Brissette I, Leventhal EA. The common-sense model of self-regulation of health and illness[M]. London:Routledge, 2003:42-65.
[23]	柴媛媛, 沈斌, 邢韦韦. 冠心病患者运动自我效能现状及其影响因素分析[J]. 中华现代护理杂志, 2021, 27(26):3562-3566.

Mediating effect of exercise self-efficacy between kinesiophobia and amount of physical activity in patients with coronary heart disease

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