摘要
目的探究冠状动脉旁路移植术(Coronary artery bypass grafting,CABG)患者术后疲乏与运动恐惧的关联。方法采用方便抽样法于2022年1-9月对新疆乌鲁木齐市3所综合性三级医院收治的CABG患者进行问卷调查。采用潜在类别分析(Latent class analysis,LCA)对患者术后疲乏进行分类,采用多因素线性回归模型分析CABG患者术后疲乏与心脏疾病运动恐惧的关联。结果共纳入260人,其中男性218人(83.85%),女性42人(16.15%)。CABG患者疲乏可分为3个类别:高疲乏组(21.9%)、生理疲乏组(41.2%)、低疲乏组(36.9%)。多因素线性回归模型分析显示,相较于低疲乏组,高疲乏组(β=0.38,P<0.01)和生理疲乏组(β=0.29,P<0.01)患者的运动恐惧得分较高。结论CABG患者术后疲乏与运动恐惧存在正向关联,可改善术后疲乏症状,可有助于降低患者的运动恐惧。
Objective To explore the association between postoperative fatigue and kinesiophobia in patients undergoing coronary artery bypass grafting(CABG).Methods A total of 260 patients with CABG in 3 tertiary grade A hospitals in Urumqi Municipality were selected from January to September in 2022 by using the convenient sampling method.The data was collected by using questionnaires.The Latent class analysis(LCA)was applied for the classification ofpostoperative fatigue,and multivariate linear regression model was used to analyze the association between postoperative fatigue and kinesiophobia heartin patients undergoing CABG.Results A total of 260 subjects were includedin present study,218 of thepatients were male(83.85%),42 of the patients were women(16.15%).The fatigue was divided by LCA into 3 classes:high fatigue(21.9%),high physical fatigue(41.2%)and lowfatigue(36.9%).The results of multivariate linear regression model indicated the scores of kinesiophobia among thesubjects in high fatigue and high physical fatigue were significantly higher than the counterparts in lowfatigue class(β=0.38,P<0.01;β=0.29,P<0.01).Conclusions There was a positive association between postoperative fatigue and kinesiophobia heart in patients with CABG.Improving postoperative fatigue symptoms can help reduce kinesiophobia in patients.
作者
张晶
陶秀秀
张家帅
丁建玲
陶建双
贲艳丽
ZHANG Jing;TAO Xiuxiu;ZHANG Jiashuai;DING Jianling;TAO Jianshuang;BEN Yanli(College of Nursing,Xinjiang Medical University,Urumqi 830017,China;College of Public Health,Fudan University,Shanghai 200032,China;Department of Cardiac Surgery,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi 830018,China;Department of Nursing,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi 830018,China)
出处
《新疆医科大学学报》
CAS
2023年第4期567-571,共5页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金(2019D01C160)。
关键词
冠状动脉旁路移植术
术后疲乏
运动恐惧
潜在类别分析
coronary artery bypass grafting
postoperative fatigue
kinesiophobia
latent category analysis
