摘要
目的探讨不稳定性心绞痛(UA)患者心脏康复(CR)障碍水平现状,并分析其影响因素。方法回顾性选取2021年1月~2024年3月于界首市人民医院接受治疗的210例UA患者的临床资料。采用中文版心脏康复障碍量表(CRBS-C/M)评估患者的CR障碍水平。采用单因素分析和多元线性回归分析影响UA患者CR障碍水平的相关因素。结果210例UA患者CRBS-C/M总分为(3.12±0.42)分,其中后勤因素维度最高,为(3.46±0.43)分,其他3个维度得分为感知需要维度(3.05±0.46)分、工作/时间冲突维度(3.08±0.45)分、并发症/功能状态维度(3.15±0.35)分。多元线性回归分析结果显示,年龄(β=0.170,P<0.05)、文化程度(β=-0.117,P<0.05)、社会支持水平(β=-0.602,P<0.05)、心绞痛发作频率(β=-0.101,P<0.05)、呼吸困难(β=-0.141,P<0.05)、运动习惯(β=0.156,P<0.05)、GRACE评分(β=-0.168,P<0.05)是影响UA患者CR障碍水平的相关因素,可解释总变异量的60.8%。结论UA患者CR障碍水平较高,后勤因素是其主要的影响因素。年龄>60岁、文化程度低、社会支持水平低、心绞痛发作频率≥3次/月、呼吸困难程度较高、没有运动习惯、全球急性冠状动脉事件登记(GRACE)评分高是UA患者CR障碍水平较高的影响因素。
Objective To investigate the level of cardiac rehabilitation(CR)disorder in patients with unstable angina(UA)and analyze its influencing factors.Methods A total of 210 patients with UA who were treated in Jieshou People's Hospital from January 2021 to March 2024 were retrospectively selected as the study subjects.The Chinese version of the cardiac rehabilitation disorder scale(CRBS-C∕M)revised by Duan Juan et al.,was used to evaluate the level of CR disorder in patients.Univariate analysis and multiple linear regression analysis were used to analyze the related factors affecting the level of CR disorder in UA patients.Results The total average score of CRBS-C∕M in 210 UA patients was(3.12±0.42)points,among which the average score of logistics factor dimension was the highest(3.46±0.43)points,and the other three dimensions were:perceived need dimension(3.05±0.46)points,work∕time conflict dimension(3.08±0.45)points,complications∕functional status dimension(3.15±0.35)points.Multivariate linear regression analysis revealed that age(β=0.170,P<0.05),education level(β=-0.117,P<0.05),social support level(β=-0.602,P<0.05),angina attack frequency(β=-0.101,P<0.05),dyspnea(β=-0.141,P<0.05),exercise habit(β=0.156,P<0.05),and GRACE score(β=-0.168,P<0.05)were associated factors influencing the level of cardiac rehabilitation(CR)barriers in UA patients,explaining 60.8%of the total variance.Conclusions The level of CR disorder in UA patients is high,and logistic factors are the main influencing factors.Age>60 years old,low education level,low level of social support,angina attack frequency≥3 times∕month,higher degree of dyspnea,absence of exercise habits,and high GRACE score are influencing factors for high CR barrier levels in UA patients.
作者
邓文娟
李凤
郭静
DENG Wenjuan;LI Feng;GUO Jing(Department of Cardiovascular Medicine,Jieshou People's Hospital,Fuyang 236500,China)
出处
《中华保健医学杂志》
2025年第6期982-986,共5页
Chinese Journal of Health Care and Medicine
基金
安徽省阜阳市卫生健康科研项目(FY2023-011)。
关键词
不稳定性心绞痛
心脏康复
心脏康复障碍
心脏康复障碍量表
影响因素
unstable angina
cardiac rehabilitation
cardiac rehabilitation disorders
cardiac rehabilitation disorders scale
influencing factors
