基于计划行为理论的急性冠脉综合征患者PCI后居家运动康复维持困境的质性研究OA

Objective To explore the maintenance dilemma of home-based exercise rehabilitation in patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI)based on the theory of planned behavior.Methods Using purposive sampling method,16 patients with ACS who underwent PCI and were hospitalized in the Department of Cardiology of the First Medical Center of Chinese PLA General Hospital from March to May 2025 were selected as the research subjects.Develop an interview outline based on three dimensions of the theory of planned behavior:behavioral attitude,subjective norms,and perceived behavioral control.Research data was collected using semi-structured interview method;two researchers used targeted content analysis to repeatedly read interview content,and organized and analyzed interview data.Results Three main themes and 9 sub-themes were extracted,including(1)behavioral attitude factors:low recognition of home-based the value of exercise rehabilitation,persistence of exercise avoidance and dread;(2)subjective norms factors:role conflict limits exercise priority,inadequate family support hindering maintenance of home-based exercise rehabilitation,the effect of patient companion is dual,lack of medical support deepening dilemma,lack of rehabilitation resources increasing difficulty of home-based exercise rehabilitation;(3)perceived behavioral control factors:lack of confidence in home-based exercise rehabilitation,absence of self-management ability.Conclusion The maintenance process of home-based exercise rehabilitation is limited by behavioral attitude,subjective norms,and perceived behavioral control in patients with ACS after PCI.Medical staff should analyze the specific difficulties of patients and provide targeted support and help to promote the change and long-term maintenance of home-based exercise rehabilitation behavior and improve the health outcomes.