| Objectives To analyze the risk factors of kinesiophobia in patients with coronary heart disease and angina pectoris,and provide evidence for preventing the occurrence of kinesiophobia in patients with coronary heart disease and angina pectoris and formulating early nursing intervention measures.Methods An unmatched case-control study was used to select 316 patients diagnosed with angina pectoris who were hospitalized in the Affiliated Hospital of North China University of Technology and the Department of Cardiology of Kailuan General Hospital from August 2020 to August 2021.on the seventh day of unrestricted activities,the patients with coronary heart disease and angina pectoris with TSK-SV Heart>37 points were screened by The Tampa Scale for Kinesiophobia Heart(TSK-SV Heart)as the case group,≤37 the patients with coronary heart disease and angina pectoris were the control group.The Self-Regu-latory Model(SRM)framework was used to construct risk factors,and the investigation content included general demographic factors,disease factors,selfcognition and management factors,behavioral and habit factors,psychological factors,family and social support factors.The risk factors of kinesiophobia in patients with coronary heart disease and angina pectoris were compared and analyzed between the two groups.SPSS22.0 software was used for statistical processing,measurement data were expressed as mean ± standard deviation,counting data were expressed as frequency and composition ratio.Chi-square test was used for univariate analysis and unconditional Logistic regression was used for multivariate analysis.Results 1 Single factor analysis of kinesiophobia in patients with coronary heart disease and angina pectoris There were significant differences in age,education level,gender,monthly family income,family history,living style,body mass index,waist circumference,NT-pro BNP,exercise habits,self-management,angina pectoris type,angina pectoris severity,cardiac function classification,fatigue,shortness of breath,palpitations,dizziness,degree of pain,frequency of angina pectoris,nitroglycerin,heart failure,hypertension,diabetes,arrhythmia,stroke,myocardial infarction,number of hospitalizations,number of coronary arteries,awareness of the benefits of exercise,first aid knowledge during attacks,anxiety,depression,pain resilience,and social support between the two groups of patients(P<0.05).2 Multiple factor analysis of kinesiophobia in patients with coronary heart disease and angina pectoris Patients with grade Ш angina pectoris were 9.255 times more likely to develop kinesiophobia than those with grade Ι(95%CI: 2.212~38.726);severe fatigue patients with angina pectoris had a 8.858 times higher risk of developing kinesiophobia than those mild fatigue(95%CI: 2.518~31.170);mild anxiety patients with angina pectoris had a 2.437 times higher risk of developing kinesiophobia than those without anxiety(95%CI: 1.125~5.279);the risk of kinesiophobia in patients with moderate and severe angina pectoris was 6.585 times higher than that in patients without anxiety(95%CI: 2.538~17.081);patients with angina pectoris with palpitations were 4.571 times more likely to develop kinesiophobia than those without palpitations(95%CI: 1.713~12.194);the risk of kinesiophobia in patients with moderate and severe pain was 3.081 times higher than that in patients with mild pain(95%CI: 1.232~7.701);the risk of kinetophobia in patients with angina pectoris who did not know the benefits of exercise was 3.634 times higher than that in patients who knew the benefits of exercise(95%CI: 1.766~7.476);the risk of kinetophobia in female patients with angina pectoris was 3.070 times higher than that in male patients(95%CI: 1.273~7.404);obese patients with angina pectoris had 2.838 times higher risk of kinetophobia than those with lean or normal angina pectoris(95%CI: 1.542~5.220);the risk of kinetophobia in angina patients with heart failure was 1.775 times higher than that in patients without heart failure(95%CI: 1.037~3.039);the risk of kinetophobia in angina patients with high pain resilience was 0.556 times higher than that in patients with low pain resilience(95%CI: 0.356~0.868);the risk of kinetophobia was 0.478 times higher in patients with angina pectoris with medium and high level of social support than in patients with low level of social support(95%CI: 0.245~0.935);the risk of kinetophobia in regular exercise patients was 0.246 times higher than that in never exercise patients(95%CI: 0.130~0.466);the risk of kinetophobia in patients with angina pectoris was 0.181 times higher than that in patients with primary education(95%CI: 0.054~0.611);the risk of kinetophobia was 0.081 times higher in patients with moderate and high levels of self-management than in patients with low levels of self-management(95%CI: 0.028~0.233).Conclusions Risk factors for kinetophobia in patients with coronary heart disease and angina pectoris were severity of Ш angina pectoris,fatigue over severe,mild and moderate to severe anxiety,palpitations,moderate to severe pain,ignorance of the benefits of exercise,female,obesity,and heart failure.High level of pain resilience,medium and high level of social support,regular exercise,college education or above,medium and high level of self-management were the protective factors of angina patients with kinetophobia.Figure 2;Table 13;Reference 166... |
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