经皮冠状动脉介入术后病人运动恐惧分型及其影响因素

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Study on the classification of kinesiophobia and its influencing factors in PCI patients

Abstract  Objective：To describe the level of PCI patients' kinesiophobia，to explore potential categories of PCI patients' kinesiophobia，and to analyze differences in these categories.Methods：From August 2023 to December 2023，a convenient sampling method was used to select 342 PCI patients from 3 tertiary hospitals in Shanghai.The questionnaire included the General Information Questionnaire，the Tampa Scale for Kinesiophobia Heart，Chinese Self⁃Efficacy for Exercise Scaleand Patient Health Questionnaire⁃4.Results：A total of 327 patients were included.The score of PCI patients' TSK⁃SV Heart was （36.21±5.81），which was at a medium level；the score of SEE⁃C was （50.56±26.60），which was at a medium level.According to the model fitting results，four latent classes were finally determined，which were kinesiophobia⁃perceived danger for heart problem，low level of kinesiophobia，kinesiophobia⁃avoidance of exercise and kinesiophobia⁃dysfunctional self.Exercise self⁃efficacy，exercise habits，gender and exercise knowledge of coronary heart disease were four factors affecting different latent classes of PCI patients' kinesiophobia.Better knowledge and male patients were risk factors for the group of kinesiophobia⁃perceived danger for heart problem；High exercise self⁃efficacy and regular exercise but not frequent （the interval between each exercise was from 2 weeks to 1 month ） were protective factors for the group of kinesiophobia-dysfunctional self；high exercise self⁃efficacy was the protective factor for the group of kinesiophobia⁃perceived danger for heart problem and the group of kinesiophobia-avoidance of exercise.Conclusion：Kinesiophobia of PCI patients has distinct categorical features.It is suggested that healthcare professionals can adopt targeted interventions according to the characteristics of different classes to reduce the level of kinesiophobia.

Keywords  kinesiophobia； latent class analysis； percutaneous coronary intervention； influencing factors； investigation and research

摘要  目的：描述经皮冠状动脉介入（PCI）术后病人运动恐惧水平，探讨PCI术后病人运动恐惧的潜在类别，分析不同类别PCI术后病人运动恐惧的差异，并探究这些潜在类别的影响因素。（剩余14206字）