摘要
目的研究不稳定型心绞痛(unstable angina pectoris,UAP)患者经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后的应对方式在运动恐惧与运动康复依从性中的中介效应。方法方便抽样法选取九江市第一人民医院2020年2月至2023年12月收治的152例UAP患者,采用应对方式问卷量表、运动恐惧量表、运动康复依从性量表进行问卷调查,分析应对方式在运动恐惧与运动康复依从性中的中介效应。结果运动恐惧与运动康复依从性呈负相关(P<0.05);运动恐惧与面对应对呈负相关,与回避和屈服应对呈正相关(P<0.05);运动康复依从性与面对应对呈正相关,与回避和屈服应对呈负相关(P<0.05)。中介模型结果显示运动恐惧对运动康复依从性的影响总作用为-1.659,其中运动恐惧对运动康复依从性的直接作用为-1.435,应对方式对运动康复依从性的直接作用为0.276,应对方式的中介作用为-0.224,均P<0.05。结论UAP患者PCI术后的应对方式在运动恐惧与运动康复依从性之间发挥部分中介效应,建议医护人员加强对患者运动恐惧和负面应对方式的关注,并及时采取干预措施降低不良影响,提升患者的运动康复依从性。
Objective To investigate the mediating effects of coping style after percutaneous coronary intervention(PCI)in patients with unstable angina pectoris(UAP)on exercise fear and exercise rehabilitation compliance.Methods A total of 152 UAP patients in the First People’s Hospital of Jiujiang from February 2020 to December 2023 were selected by convenient sampling method,and questionnaires were conducted by using coping style questionnaire scale,exercise fear scale and exercise rehabilitation compliance scale to analyze the mediating effect of coping style on exercise fear and exercise rehabilitation compliance.Results Exercise fear was negatively correlated with exercise rehabilitation compliance(P<0.05).Exercise fear was negatively correlated with face coping,and positively correlated with avoidance and submission(P<0.05).The compliance of exercise rehabilitation was positively correlated with face coping,and negatively correlated with avoidance and submission coping(P<0.05).The results of the mediation model showed that the total effect of exercise fear on the compliance of exercise rehabilitation was-1.659,in which the direct effect of exercise fear on the compliance of exercise rehabilitation was-1.435,the direct effect of coping style on the compliance of exercise rehabilitation was 0.276,and the mediating effect of coping style was-0.224,all P<0.05.Conclusion The coping styles of UAP patients after PCI partially mediate effects between exercise fear and exercise rehabilitation compliance.It is recommended that medical staff pay more attention to patients’exercise fear and negative coping styles,and take timely intervention measures to reduce adverse effects,thereby improving patients’exercise rehabilitation compliance.
作者
刘洁
柯婷
王丹
LIU Jie;KE Ting;WANG Dan(Department of Catheterization,the First People’s Hospital of Jiujiang,Jiujiang 332000,Jiangxi,China)
出处
《中国现代医生》
2025年第18期37-41,共5页
China Modern Doctor
关键词
心绞痛
应对方式
运动恐惧
运动康复依从性
中介效应
Angina pectoris
Coping style
Exercise fear
Exercise rehabilitation compliance
Mediating effect
