射频消融术后“空白期”心房颤动患者的运动恐惧现状及其影响因素

贾敏; 孙陈铃; 芮小文

doi:10.7619/jcmp.20231228

射频消融术后“空白期”心房颤动患者的运动恐惧现状及其影响因素

Current situation of exercise fear in patients with atrial fibrillation during "blank period" after radiofrequency ablation and its influencing factors

摘要

摘要:
目的探讨经射频消融术(RFCA)后“空白期”心房颤动(AF)患者的运动恐惧现状及其影响因素。
方法选取310例AF患者为研究对象。采用一般资料调查表、心脏病患者运动恐惧量表(TSK-SV Heart)、运动自我效能量表(SEE)、多伦多大学心房颤动症状严重程度量表(AFSS)对310例RFCA术后“空白期”AF患者进行问卷调查。
结果 AF患者RFCA术后“空白期”TSK-SV Heart总分为(44.83±9.65)分, SEE总分为(38.59±16.28)分, AFSS总分为(25.77±5.95)分。多元逐步回归分析结果显示，性别、文化程度、职业类型、居住情况、心功能、自我运动效能以及AF症状严重程度是患者术后“空白期”运动恐惧的影响因素(P < 0.05)。
结论 AF患者RFCA术后“空白期”运动恐惧水平较高，医护人员在日常护理管理中可针对上述因素对患者进行干预，以减轻患者的运动恐惧，改善其术后康复效果。

Abstract:
Objective To investigate the current situation of exercise fear in patients with atrial fibrillation (AF) during "blank period" after radiofrequency ablation (RFCA) and its influencing factors.
Methods A total of 310 AF patients were selected as the study objects. The general information questionnaire, Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), Self-efficacy for Exercise (SEE) and University of Toronto Atrial Fibrillation Severity Scale (AFSS) were used to investigate 310 AF patients in the "blank period" after RFCA.
Results The total score of TSK-SV Heart in the "blank period" after RFCA in AF patients was (44.83±9.65), the total score of SEE was (38.59±16.28), and the total score of AFSS was (25.77±5.95). The results of multiple stepwise regression analysis showed that gender, education level, occupation type, residence situation, heart function, self-motor efficacy and the severity of AF symptoms were the influencing factors of exercise fear in the postoperative "blank period" (P < 0.05).
Conclusion The level of exercise fear in the "blank period" after RFCA is high in AF patients. Medical staff can intervene in the daily nursing management according to the above factors to reduce the exercise fear of patients and improve the postoperative rehabilitation effect.

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