摘要
目的对冠心病经皮冠状动脉介入治疗(PCI)后患者运动恐惧相关研究进行范围综述。方法计算机检索PubMed、CINAHL、Cochrane Library、Web of Science、Embase、Ovid、Scopus、中国生物医学文献数据库、中国知网、万方数据知识服务平台和维普网上有关冠心病PCI后患者运动恐惧的研究,检索时限为建库至2024-06-28。由2名研究人员筛选文献,提取并汇总文献内容。结果最终纳入29篇文献。冠心病PCI后患者运动恐惧发生率为22.8%~98.2%,其可降低患者生活质量及影响身体活动、康复效果;目前,冠心病PCI后患者运动恐惧的影响因素包括人口学因素、社会心理因素、疾病相关因素、运动状态,测评工具为心脏病患者运动恐惧量表(TSK-SV Heart)、中文版心脏病患者运动恐惧量表(TSK-Heart-C)及冠心病患者运动恐惧量表(Fact-CAD),主要干预方法包括心理干预、健康教育、认知行为干预、疼痛管理、运动锻炼及远程居家康复。结论冠心病PCI后患者运动恐惧发生率较高,其可降低患者生活质量及影响身体活动、康复效果;目前,冠心病PCI后患者运动恐惧的影响因素较多,缺乏本土化测评工具,干预方法研究尚处于探索阶段,有待优化。
Objective To provide a scoping review of studies related to kinesiophobia in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods Computer searches were conducted on PubMed,CINAHL,Cochrane Library,Web of Science,Embase,Ovid,Scopus,China Biomedical Literature Database,CNKI,Wanfang Data,and VIP websites for relevant studies on kinesiophobia in patients with coronary heart disease after PCI.The search period was from the establishment of the databases to June 28,2024.Two researchers screened the literature,extracted and summarized its content.Results Finally,29 articles were included.The incidence of kinesiophobia in patients with coronary heart disease after PCI was 22.8%to 98.2%,which can reduce their quality of life,and affect physical activity,and rehabilitation effect.At present,the influencing factors of kinesiophobia in patients with coronary heart disease after PCI included demographic factors,social psychological factors,disease-related factors,and exercise status.The assessment tools included the Tampa Scale for Kinesiophobia Heart(TSK-SV Heart),Chinese version of the Tampa Scale for Kinesiophobia Heart(TSK-Heart-C)and Fear of Activity in Patients with Coronary Artery Disease(Fact-CAD).The main intervention methods included psychological intervention,health education,cognitive-behavioral intervention,pain management,exercise,and remote home rehabilitation.Conclusion The incidence of kinesiophobia is higher in patients with coronary heart disease after PCI,which can reduce their quality of life and affect physical activity,and rehabilitation outcomes.At present,there are many influencing factors for kinesiophobia in patients with coronary heart disease after PCI,and there is a lack of localized assessment tools.The research on intervention methods is still in the exploratory stage and needs to be optimized.
作者
王贺丽
许方蕾
李沪生
周婧虹
王敏凤
WANG Heli;XU Fanglei;LI Husheng;ZHOU Jinghong;WANG Minfeng(Tongji University School of Medicine,Shanghai 200331,China;Department of Cardiology,Shanghai Chest Hospital,Shanghai 200030,China;Nursing Department,Jinshan District Tinglin Hospital,Shanghai 201505,China)
出处
《实用心脑肺血管病杂志》
2026年第2期84-90,共7页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
上海申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC12024625)
2024年度护理学科人才队伍建设项目(SJTUHLXK2024)。
关键词
冠心病
经皮冠状动脉介入治疗
恐动症
范围综述
Coronary disease
Percutaneous coronary intervention
Kinesiophobia
Scoping review
