冠心病患者运动恐惧发生率及影响因素的Meta分析被引量：5

Incidence and influencing factors of kinesiophobia in patients with coronary disease:a meta-analysis

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摘要目的对冠心病患者运动恐惧的发生率及影响因素进行Meta分析。方法检索PubMed、Cochrane Library、Web of Science、Embase、CINAHL、中国知网、中国生物医学文献数据库、万方及维普数据库中有关冠心病患者运动恐惧发生率和(或)影响因素的文献,检索时限为建库至2023年9月。2名研究者独立进行文献筛选、资料提取、方法学质量评价后,采用Stata 16.0软件进行Meta分析。结果共纳入27篇文献,包含6051例患者。Meta分析结果显示,冠心病患者运动恐惧发生率为64%[95%CI(0.54,0.73)]。性别(OR=3.387)、自我效能得分(OR=0.697)、心功能分级(OR=2.381)、自我感受负担得分(OR=1.555)、疼痛评分(OR=1.352)、病程(OR=0.701)、是否合并心力衰竭(OR=2.065)、心理弹性程度(OR=0.513)、焦虑得分(OR=1.189)是冠心病患者运动恐惧的影响因素(P<0.05)。结论冠心病患者运动恐惧发生率较高,且其发生受社会人口学因素、疾病相关因素、心理因素的影响。医护人员应基于上述影响因素尽早识别运动恐惧高危人群,并通过制订、实施针对性的干预措施,减少冠心病患者运动恐惧的发生,减轻运动恐惧对冠心病患者造成的不利影响。 Objective To systematically review the incidence and influencing factors of kinesiophobia in patients with coronary disease.Methods The databases including PubMed,Cochrane Library,Web of Science,Embase,CINAHL,CNKI,CBM,WanFang Data and VIP were searched from the date of their inception to September 2023.Studies were retrieved including cross-sectional studies,cohort studies or case-control studies reporting associated factors of kinesiophobia in patients with coronary disease.After that,two researchers independently screened the literature and performed quality evaluation and data extraction.Stata 16.0 was used for Meta-analysis.Results A total of 27 articles were included,covering 6051 respondents.The detection rate of kinesiophobia was 64%[95%CI(0.54,0.73)].Gender(OR=3.387),self-efficacy score(OR=0.697),cardiac function rating(OR=2.381),self-perceived burden score(OR=1.555),pain score(OR=1.352),duration of disease(OR=0.701),heart failure was combined(OR=2.065),psychological resilience(OR=0.513),and anxiety score(OR=1.189)were found to be the influencing factors of kinesiophobia in patients with coronary disease(P<0.05).Conclusion The incidence of kinesiophobia in patients with coronary disease is high.Sociodemographic factors,disease-related factors,and psychological factors are the main factors of kinesiophobia in patients with coronary disease.Health care providers should identify high-risk individuals for kinesiophobia as early as possible based on these factors,develop and implement targeted interventions to reduce the occurrence of kinesiophobia in patients with coronary heart disease and mitigate its adverse effects on these individuals.