基于恐惧-回避模型的运动康复方案对冠心病经皮冠状动脉介入治疗患者运动恐惧的影响OA

Objective To discuss the effect of exercise rehabilitation program based on fear-avoidance model(FAM)on kinesiophobia in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods Convenience sampling method was used to select 114 coronary heart disease patients who underwent PCI in the Cardiovascular Department of Hebei General Hospital from August 2022 to March 2023 as the study objects,and they were divided into the FAM group and the conventional intervention group according to the random number table method,with 57 cases in each group.Patients in the conventional intervention group accepted conventional cardiac rehabilitation,and patients in the FAM group accepted exercise rehabilitation program based on FAM,both groups were intervened for 1 month.Scores of each dimension and total score of the Chinese version of Tampa Scale for Kinesiophobia Heart(TSK-SV Heart),Self-Efficacy for Exercise(SEE)score,Cardiac Anxiety Questionnaire(CAQ)score,and scores of Positive Coping Subscale and Negative Coping Subscale in Simple Coping Style Questionnaire(SCSQ)before and after intervention were compared between the two groups.Results Post-intervention,scores of danger perception,movement fear,movement avoidance,dysfunction dimensions and total score of the Chinese version of TSK-SV Heart in FAM group were lower than those in the conventional intervention group(P<0.05).Post-intervention,SEE score in the FAM group was higher than that in the conventional intervention group(P<0.05),but there was no significant difference in CAQ score post-intervention between the two groups(P>0.05).Post-intervention,Positive Coping Subscale score in the FAM group was higher than that in the conventional intervention group,and Negative Coping Subscale score was lower than that in the conventional intervention group(P<0.05).Conclusion Exercise rehabilitation program based on FAM can reduce kinesiophobia level of patients with coronary heart disease after PCI by improving their exercise self-efficacy and promoting them to adopt positive coping strategies.