摘要
目的了解患者心脏康复认知度与运动依从性的相关性,进一步查找影响心脏康复依从性差的原因。方法本研究采用问卷调查法和半结构访谈法。选择2017年2月1日至4月1日在解放军总医院心血管内科住院的不稳定心绞痛并择期首次行经皮冠状动脉介入(PCI)术的冠心病(CHD)患者,在术后1~2年内回院复查时进行问卷调查,共87例。调查问卷包括一般资料和心脏康复认知度问卷两部分。对于问卷中不能用评分方法进行调查的内容采用半结构访谈法进行补充。采用Pearson相关分析运动依从性得分与心脏康复认知度得分的相关性。结果心脏康复认知度得分(66.7%)和运动依从性得分(74.8%)处于30~45分者居多。对心脏康复非常了解者8例(9.2%),了解一些者23例(26.4%),从未听说者56例(66.4%)。认为心脏康复非常重要及重要者共78例(89.6%)。运动依从性得分与心脏康复认知度得分(r=0.931)和运动习惯(r=0.334)呈正性相关(P<0.05)。对于熟练应用手机的患者更青睐手机APP指导下的居家康复。结论心脏康复知晓率低,认知度得分与运动依从性得分不理想,但大部分患者对心脏康复认可。心脏康复认知程度不高是导致心脏康复运动依从性低的主要原因。
ObjectiveTo investigate the correlation between the patient’s awareness on cardiac rehabilitation with exercise compliance,and to find out the reasons for poor compliance in cardiac rehabilitation.MethodsA total of87coronary heart disease(CHD)patients hospitalized in our department due to unstable angina from February1,to April1,2017,and undergoing elective percutaneous coronary intervention(PCI)for the first time were enrolled in this study.During their re hospitalization in1to2years after discharge,questionnaire survey was used to investigate their general information and awareness on cardiac rehabilitation.And semi structured interview was employed for the items that could not be scored in the questionnaires.Pearson correlation analysis was employed to analyze the correlation of the score of exercise compliance with awareness level on cardiac rehabilitation.ResultsMost participants(66.7%)had the score of awareness on cardiac rehabilitation ranging from30to45,and74.8%had the similar range for the score of exercise compliance.Eight subjects(9.2%)knew well about cardiac rehabilitation,23(26.4%)knew some,and56(66.4%)had never known about it.There were78participants(89.6%)who considered cardiac rehabilitation very important or important.The score of exercise compliance was positively correlated with the score of the awareness(r=0.931)and exercise habit(r=0.334).For those who were proficient in mobile phones,they preferred mobile phone APP for the guidance of home rehabilitation.ConclusionLow awareness level on cardiac rehabilitation indicates poor scores of the awareness and exercise compliance,though most patients accept the importance of cardiac rehabilitation.Poor awareness also is the main reason for poor exercise compliance.
作者
唐莲
刘春雪
李泱
马晶
TANG Lian;LIU Chun-Xue;LI Yang;MA Jing(Department of Cardiology, Chinese PLA General Hospital, Beijing 100853, China)
出处
《中华老年多器官疾病杂志》
2018年第1期66-69,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
冠心病
心脏
康复
认知度
冠状动脉介入
coronary heart disease
heart
rehabilitation
awareness
percutaneous coronary intervention
