摘要
目的借助结构方程模型,探讨冠心病患者运动恐惧影响因素的作用路径及效应大小,为改善患者心脏康复运动状况提供参考。方法采用便利抽样法,对316例心绞痛患者,采用一般因素调查表、焦虑自评量表、疼痛灾难化量表、多维疲劳量表、冠心病自我管理量表、疼痛视觉模拟量表及心脏病患者运动恐惧量表进行调查,采用结构方程模型分析运动恐惧的影响因素及作用路径。结果冠心病患者运动恐惧得分45.97±11.13。结构方程模型拟合较好(RMSEA=0.067,GFI=0.992,NFI=0.980),疲乏、疼痛灾难化、疼痛程度、自我管理及焦虑是冠心病心绞痛患者运动恐惧的影响因素,总效应分别为0.587、0.348、0.245、-0.235、0.154。疲乏通过疼痛灾难化、自我管理和焦虑间接影响运动恐惧,焦虑通过疼痛灾难化间接影响运动恐惧,疼痛程度通过疲乏和自我管理间接影响运动恐惧,疼痛灾难化通过自我管理影响运动恐惧。结论冠心病心绞痛患者运动恐惧处于中等偏上水平,降低患者疲乏感、疼痛灾难化、焦虑、疼痛程度,提高自我管理能力是改善其运动恐惧的有效途径。
Objective To explore the action path and effect size of factors influencing kinesiophobia in patients with angina pectoris due to coronary heart disease by building a structural equation model,and to provide relevant suggestions for promoting patients′compliance with cardiac rehabilitation.Methods Using convenience sampling method,316 angina pectoris patients were included,and asked to fill out the self-assessment lists of general factors questionnaire,Self-rating Anxiety Scale(SAS),Pain Catastrop-hizing Scale(PCS),Multi-dimensional Fatigue Inventory 20(MFI-20),Coronary artery disease Self-management Scale(CSMS),Visual Analogue Scale(VAS)for pain assessment,and the Tampa Scale for Kinesiophobia Heart(TSK-SV Heart).A structural equation model was built to explore action path and effect size of factors influencing kinesiophobia in patients with angina pectoris.Results The patients scored(45.97±11.13)points in kinesiophobia.The structural equation model fitted well(RMSEA=0.067,GFI=0.992,NFI=0.980).Fatigue,pain catastrophization,pain degree,self-management,and anxiety were influencing factors of kinesiophobia in patients with angina pectoris,and the total effect was 0.587,0.348,0.245,-0.235,and 0.154,respectively.Fatigue indirectly affected kinesiophobia through pain catastrophization,self-management and anxiety;anxiety indirectly affected kinesiophobia through pain catastrophization;pain degree indirectly affected kinesiophobia through fatigue and self-management;pain catastrophization indirectly affected kinesiophobia through self-management.Conclusion Kinesiophobia of patients with angina pectoris is above medium level.It is an effective way to improve kinesiophobia of patients by reducing their fatigue,pain catastrophization,anxiety and pain degree,and by improving their self-management ability.
作者
宋晓梅
马素慧
彭艳婷
朱亚飞
安利杰
李淑杏
Song Xiaomei;Ma Suhui;Peng Yanting;Zhu Yafei;An Lijie;Li Shuxing(College of Nursing and Rehabilitation,North China University of Technology,Tangshan 063210,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第12期64-67,78,共5页
Journal of Nursing Science
基金
河北省社会科学基金项目(HB15SH020)。
关键词
冠心病
心绞痛
运动恐惧
自我管理
疲乏
焦虑
疼痛灾难化
结构方程模型
coronary heart disease
angina pectoris
kinesiophobia
self-management
fatigue
anxiety
pain catastrop-hization
structural equation model
