冠状动脉旁路移植术病人运动恐惧潜在类别及症状网络分析OA

Objective:To explore the potential categories of kinesiophobia in patients undergoing coronary artery bypass grafting(CABG)and to conduct symptom network analysis to identify core symptoms in different categories symptom networks.Methods:Using convenience sampling,patients who underwent coronary artery bypass grafting in the cardiovascular surgery department of the Affiliated Hospital of Qingdao University from January 2024 to April 2025 were selected as the research subjects.The General Information Questionnaire,Kinesiophobia Heart(TSK-SV Heart),and Revised Symptom Questionnaire for Post-patients undergoing coronary artery bypass grafting were used for investigation.Latent profile analysis was employed to explore potential categories of kinesiophobia.R language was used to construct symptom networks for each category,and network centrality indices were analyzed to determine core symptoms.Results:A total of 487 patients undergoing coronary artery bypass grafting were included,with a kinesiophobia incidence of 87.89%.Two potential categories were identified in total:low-fear-exercise-avoidance group(29.4%)and high-fear-exercise-fear group(70.6%).In the low-fear-exercise-avoidance group network,fatigue(rs=1.99)had the highest strength and was the core symptom;in the high-fear-exercise-fear group network,surgical incision pain had the highest strength(rs=1.46),compactness(rc=0.005 57),and betweenness(rb=16),serving as the core symptom.There were no significant differences in symptom network structure(M=0.29)and overall connection strength(S=3.27)between the low-fear-exercise-avoidance group and the high-fear-exercise-fear group.Conclusions:Patients undergoing coronary artery bypass grafting have a high incidence of kinesiophobia with significant group heterogeneity,which could be divided into two categories:the low-fear-exercise-avoidance group and the high-fear-exercise-fear group.Fatigue and surgical incision pain are the core symptoms of the low-fear-exercise-avoidance group and high-fear-exercise-fear group,respectively.It is recommended that healthcare providers implement precise intervention strategies targeting the core symptoms of different subgroups to reduce patients'kinesiophobia levels.