摘要
目的 探讨心力衰竭患者运动恐惧的定义及其内涵,为临床实践提供参考。方法 系统检索中国知网,万方,Web of Science,PubMed,Embase数据库,应用Walker和Avant的概念分析法对心力衰竭患者运动恐惧的相关文献进行分析。结果 共纳入30篇文献,心力衰竭患者运动恐惧的定义属性为情绪反应、认知偏差、身体感知、回避行为;前置因素包括一般人口学因素、疾病相关因素、运动自我效能、心理因素与社会支持;后果为运动依从性降低、身体机能下降与心理负担加重。结论通过对心力衰竭患者运动恐惧进行概念分析,有助于医护人员更好地理解并预防心力衰竭患者运动恐惧的发生,并为开展相关研究提供参考思路。
Objective To explore the definition and connotation of kinesiophobia in patients with heart failure,hence to provide a reference for clinical practice.Methods A systematic search was conducted on databases including CNKI,Wanfang Data,Web of Science,PubMed and Embase.Walker and Avant's concept analysis was applied to analyse the literature related to kinesiophobia in patients with heart failure.Results A total of 30 articles were included.The defining attributes of kinesiophobia in patients with heart failure were identified as emotional responses,cognitive biases,physical perceptions and avoidance behaviours.Antecedents included general demographic factors,disease-related factors,exercise self-efficacy,psychological factors and social support.Consequences included reduction in exercise adherence,decrease in physical function and increase in psychological burden.Conclusion The concept analysis of kinesiophobia in patients with heart failure can help healthcare providers with a better understanding and prevention of the kinesiophobia,and provides a reference for the researches in kinesiophobia in patients with heart failure.
作者
周娟娟
李爱仙
张美美
胡培梅
Zhou Juanjuan;Li Aixianb;Zhang Meimei;Hu Peimei(Medical College,Jiangsu University,Zhenjiang 212013,Jiangsu Province,China;Department of Cardiovascular Medicine and of Kunshan Hospital,Jiangsu University,Suzhou 215300,Jiangsu Province,China;The People's Hospital of SND,Suzhou 215129,Jiangsu Province,China;Department of Nursing Administration of Kunshan Hospital,Jiangsu University,Suzhou 215300,Jiangsu Province,China)
出处
《现代临床护理》
2025年第3期76-83,共8页
Modern Clinical Nursing
基金
苏州市医学重点扶持学科建设项目,项目编号为SZFCXK202106。
关键词
心力衰竭
运动恐惧
概念分析
综述
heart failure
fear of exercise
concept analysis
review
