慢性心力衰竭患者康复运动知信行的影响因素分析

Analysis in influencing factors of knowledge, belief and behavior of rehabilitation exercise in patients with chronic heart failure

  • 摘要:
    目的  分析慢性心力衰竭(CHF)患者康复运动知信行的影响因素。
    方法  采用简单随机抽样法选取300例CHF患者为研究对象,分别采用康复运动调查问卷、自我感受负担量表、心脏病患者运动恐惧量表评估CHF患者的知信行情况、自我感受负担及运动恐惧水平。分析CHF患者康复运动知信行与自我感受负担及运动恐惧水平的相关性。
    结果  300例CHF患者的康复运动知信行评估中,运动行为维度得分最高,为(20.64±3.14)分,运动知识维度得分最低,为(11.62±2.36)分; 自我感受负担量表中,身体负担维度得分最高,为(15.32±3.35)分,经济负担维度得分最低,为(3.21±0.93)分; 运动恐惧量表中,危险感知维度得分最高,为(12.96±2.11)分,功能障碍维度得分最低,为(9.85±2.12)分。单因素分析结果显示,性别、文化程度、收入情况、合并其他慢性病是CHF患者康复运动知信行的影响因素(P < 0.01)。多重线性回归分析结果显示, CHF患者的性别、文化程度、自我感受负担及运动恐惧是影响康复运动知信行的主要因素(P < 0.01)。
    结论  CHF患者康复运动知信行水平处于较低水平,患者的自我感受负担水平、性别、文化程度、运动恐惧水平是影响康复运动知信行的主要因素。在临床工作中,医护人员应积极鉴别知信行水平较低的患者,制订合理、科学的康复运动方案,改善患者预后。

     

    Abstract:
    Objective  To analyze the influencing factors of knowledge, belief and behavior of rehabilitation exercise in patients with chronic heart failure (CHF).
    Methods  A total of 300 patients with CHF were selected as study objects by simple random sampling method, and the Rehabilitation Exercise Questionnaire, Self-perceived Burden Scale and Exercise Fear Scale for Patients with Heart Disease were used respectively to evaluate the conditions of knowledge, belief and behavior of rehabilitation exercise, self-perceived burden and exercise fear level in patients with CHF.
    Results  In the evaluation of knowledge, belief and behavior of rehabilitation exercise in the 300 patients with CHF, the score of motor behavior dimension was the highest while the score of motor knowledge dimension was the lowest(20.64±3.14), (11.62±2.36); in the evaluation of Self-perceived Burden Scale, the score of physical burden dimension was the highest while the score of economic burden dimension was the lowest(15.32±3.35), (3.21±0.93); in the evaluation of Exercise Fear Scale, the score of risk perception dimension was the highest while the score of dysfunction dimension was the lowest(12.96±2.11), (9.85±2.12). The results of univariate analysis showed that gender, education level, income and having other chronic diseases were the influencing factors of knowledge, belief and behavior of rehabilitation exercise in CHF patients (P < 0.01). Multiple linear regression analysis showed that gender, education level, self-perceived burden and exercise fear were the main factors affecting the knowledge, belief and behavior of rehabilitation exercise in patients with CHF (P < 0.01).
    Conclusion  The knowledge, belief and behavior of rehabilitation exercise is at a low level in CHF patients, and the level of self-perceived burden, gender, educational level and exercise fear are the main factors affecting knowledge, belief and behavior of rehabilitation exercise. In the process of clinical practice, we should actively identify patients with low level of knowledge, belief and behavior, formulate a reasonableand scientific rehabilitation program, and improve the prognosis of patients.

     

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