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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
引用本文:任鹏娜,张月,丁琳,汤爱玲,董里,葛颜,袁红艳,许方蕾,朱张逸.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].解放军护理杂志,2022,39(1):21-24.
作者姓名:任鹏娜  张月  丁琳  汤爱玲  董里  葛颜  袁红艳  许方蕾  朱张逸
作者单位:同济大学 医学院,上海 200092,同济大学附属同济医院 护理部,上海 200065,同济大学附属同济医院 心内科,上海市奉贤区中心医院 心内科,上海201406
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)。
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...

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

The Mediating Effect of Kinesophobia on Self-Efficacy and Exercise adherence in Patients with Acute Myocardial Infarction after PCI
REN Pengna,ZHANG Yue,DING Lin,TANG Ailing,DONG Li,GE Yan,YUAN Hongyan,XU Fanglei,ZHU Zhangyi.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 Liberation Army,2022,39(1):21-24.
Authors:REN Pengna  ZHANG Yue  DING Lin  TANG Ailing  DONG Li  GE Yan  YUAN Hongyan  XU Fanglei  ZHU Zhangyi
Institution:(Medical College of Tongji University,Shanghai 200092,China;Department of Nursing,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China;Department of Cardiology,Tongji Hospital Affiliated to Tongji University;Department of Cardiology,Shanghai Fengxian District Central Hospital,Shanghai 201406,China)
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.
Keywords:Acute myocardial infarction  PCI  self-efficacy  kinesophobia  exercise adherence  mediating effect
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