老年冠心病合并糖尿病患者身体活动障碍现状及影响因素分析

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摘要 目的: 调查老年冠心病合并糖尿病患者身体活动障碍现状,并探讨其影响因素,为老年冠心病合并糖尿病患者的二级预防及干预策略提供依据。方法: 采用便利抽样法,选取2023年9月—2023年11月就诊于湖南省长沙市和衡阳市3所三甲医院内的261例老年冠心病合并糖尿病患者为研究对象。应用一般情况问卷、领悟社会支持量表、中文版心脏疾病运动恐惧量表、患者健康问卷抑郁量表、中文版冠心病患者身体活动障碍量表进行问卷调查。结果: 老年冠心病合并糖尿病患者的身体活动障碍量表得分为（38.96±11.41）分。多元线性回归分析结果显示,老年冠心病合并糖尿病患者家庭人均月收入、近一年再次入院次数、领悟社会支持、运动恐惧及抑郁均是身体活动障碍的影响因素。结论: 老年冠心病合并糖尿病患者的身体活动障碍处于中等水平。家庭人均月收入越低、近一年再次入院次数越多的老年冠心病合并糖尿病患者,其身体活动障碍水平越高,改善领悟社会支持、运动恐惧、抑郁,有利于降低老年冠心病合并糖尿病患者身体活动障碍水平。

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	刘飞燕
	田丹丹
	何平平
	胡琼燕
	欧政斌
	曹吉霞
	张颖仪

关键词 ：冠心病合并糖尿病, 身体活动障碍, 影响因素

Abstract：Objective To investigate the status quo of physical activity disorder in elderly patients with coronary heart disease (CHD) complicated with diabetes mellitus (DM), and to explore its influencing factors, so as to provide evidence for secondary prevention and intervention strategies in elderly patients with CHD complicated with DM. Methods A total of 261 elderly patients with coronary heart disease and diabetes mellitus were selected from 3 Grade A hospitals in Changsha and Hengyang of Hunan Province from September 2023 to November 2023 by convenience sampling method. General situation questionnaire, perceptive Social support Scale, Chinese version of the Fear of exercise scale for Heart disease, Patient Health questionnaire Depression Scale, Chinese version of the physical activity disorder scale for patients with coronary heart disease were used to investigate the questionnaire. Results The score of physical activity disorder scale in elderly patients with coronary heart disease combined with diabetes was (38.96±11.41). The results of multiple linear regression analysis showed that the family per capita monthly income, the number of readmitted hospital in the past year, perceived social support, fear of exercise and depression were all influencing factors of physical activity disorder in elderly patients with CHD and diabetes. Conclusion The physical activity disorder of elderly patients with coronary heart disease and diabetes mellitus is at a moderate level. The lower the family per capita monthly income and the more readmitted times in the past year, the higher the level of physical activity disorder in elderly patients with CHD and diabetes. Improving social support, exercise fear and depression is conducive to reducing the level of physical activity disorder in elderly patients with CHD and diabetes.

Key words： coronary heart disease with diabetes mellitus physical activity disorders influencing factor

收稿日期: 2024-03-02

基金资助:国家级大学生创新创业项目“老年冠心病合并糖尿病患者身体活动障碍影响因素及中介效应分析”（S202310542046）; 湖南省自然科学基金面上项目“内在能力减退老年冠心病患者心脏康复依从性预测模型的构建及干预策略研究”（2023JJ30426）

通讯作者: 何平平,E-mail：hpp-612@163.com

引用本文:

刘飞燕, 田丹丹, 何平平, 胡琼燕, 欧政斌, 曹吉霞, 张颖仪. 老年冠心病合并糖尿病患者身体活动障碍现状及影响因素分析[J]. 湖南师范大学学报(医学版), 2024, 21(4): 180-186. LIU Feiyan, TIAN Dandan, HE Pingping, HU Qiongyan, OU Zhengbin, CAO Jixia, ZHANG Yingyi. Current status and influencing factors of barriers to physical activity in elderly patients with coronary artery disease and diabetes mellitus. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(4): 180-186.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2024/V21/I4/180

[1] ZHOU M, LIU J, HAO Y, et al.Prevalence and in-hospital outcomes of diabetes among patients with acute coronary syndrome in China: findings from the Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome Project[J]. Cardiovasc Diabetol, 2018, 17(1): 147.
[2] CASPERSEN C J, POWELL K E, CHRISTENSON G M.Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research[J]. Public Health Rep, 1985, 100(2): 126-131.
[3] ZARAGOZA J, GENERELO E, JULIÁN J A, et al. Barriers to adolescent girls' participation in physical activity defined by physical activity levels[J]. J Sports Med Phys Fitness, 2011, 51(1): 128-135.
[4] ECKSTROM E, NEUKAM S, KALIN L, et al.Physical Activity and Healthy Aging[J]. Clin Geriatr Med, 2020, 36(4): 671-683.
[5] CHANDRA S S, CALVERT F, SUI Z X, et al.Perceived barriers and facilitators to healthy eating and physical activity in endoscopic bariatric patients: a qualitative study[J]. Eat Weight Disord, 2022, 27(5): 1633-1640.
[6] HAMER O, LARKIN D, RELPH N, et al.Fear-related barriers to physical activity among adults with overweight and obesity: A narrative synthesis scoping review[J]. Obes Rev, 2021, 22(11): 12.
[7] LEE S, COLLINS E G.Factors influencing physical activity after cardiac surgery: An integrative review[J]. Heart Lung, 2021, 50(1): 136-145.
[8] BLUMENTHAL J A, BURG M M, BAREFOOT J, et al.Social support, type A behavior, and coronary artery disease[J]. Psychosom Med, 1987, 49(4): 331-340.
[9] 姜乾金. 领悟社会支持量表[J]. 中国行为医学科学, 2001, 10(特刊): 4142.
[10] BÄCK M, JANSSON B, CIDER A, et al. Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease[J]. J Rehabil Med, 2012, 44(4): 363-369.
[11] 汤莉娅. 心脏疾病运动恐惧量表的汉化及其在冠心病患者中的应用研究[D]. 长春: 吉林大学, 2020.
[12] SPITZER R L, KROENKE K, WILLIAMS J B.Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire[J]. Jama, 1999, 282(18): 1737-1744.
[13] 徐勇, 吴海苏, 徐一峰. 病人健康问卷抑郁量表 (PHQ-9) 在社区老年人群中的应用——信度与效度分析[J]. 上海精神医学, 2007, 19(05): 257-259+276.
[14] 周春兰, 刘颖, 罗祥蓉. 病人健康问卷抑郁自评量表在住院糖尿病足溃疡患者中应用的信效度研究[J]. 中国全科医学, 2016, 19(28): 3461-3466.
[15] JOUSSAIN C, JOUBERT J, LAROCHE D, et al.Barriers to physical activity in coronary artery disease patients: Development and validation of a new scale[J]. Ann Phys Rehabil Med, 2017, 60(5): 289-298.
[16] LIU H, WU B, FENG Z.Social Participation and Self-Perception of Being Old in China[J]. Int J Aging Hum Dev, 2020, 91(3): 219-234.
[17] PEDROSO-CHAPARRO M D S, CABRERA I, VARA-GARCÍA C, et al. Physical limitations and loneliness: The role of guilt related to self-perception as a burden[J]. J Am Geriatr Soc, 2023, 71(3): 903-908.
[18] DE KLEIN K, VALKENET K, VEENHOF C.Perspectives of patients and health-care professionals on physical activity of hospitalized patients[J]. Physiother Theory Pract, 2021, 37(2): 307-314.
[19] 刘顺莉, 杜艳英, 孟令民, 等. 住院老年患者睡眠质量与心理健康分析[J]. 中国健康心理学杂志, 2015, 23(01): 143-145.
[20] 欧阳一非, 乔媛, 张新景, 等. 中国四省55岁及以上人群身体活动与抑郁症状的关联[J]. 环境与职业医学, 2021, 38(08): 817-824.
[21] MCPHEE J S, FRENCH D P, JACKSON D, et al.Physical activity in older age: perspectives for healthy ageing and frailty[J]. Biogerontology, 2016, 17(3): 567-580.
[22] GRAY P M, MURPHY M H, GALLAGHER A M, et al.Motives and Barriers to Physical Activity Among Older Adults of Different Socioeconomic Status[J]. J Aging Phys Act, 2016, 24(3): 419-429.
[23] 张静, 霍仙娜, 焦傲. 心脏运动康复干预在冠心病PCI术后病人中的应用[J]. 全科护理, 2020, 18(21): 2671-2674.
[24] 肖水源, 杨德森. 社会支持对身心健康的影响[J]. 中国心理卫生杂志, 1987, 1(04): 183-187.
[25] WHIPPLE M O, SCHORR E N, TALLEY K M C, et al. A mixed methods study of perceived barriers to physical activity, geriatric syndromes, and physical activity levels among older adults with peripheral artery disease and diabetes[J]. J Vasc Nurs, 2019, 37(2): 91-105.
[26] 范玉川. 网络成瘾对大学生身体活动的影响: 领悟社会支持的调节[J]. 天津体育学院学报, 2020, 35(04): 423-427+459.
[27] YANG S Y, WOON E Y S, GRIVA K, et al. A Qualitative Study of Psychosocial Factors in Patients With Knee Osteoarthritis: Insights Learned From an Asian Population[J]. Clin Orthop Relat Res, 2023, 481(5): 874-884.
[28] 黄蓉, 丁梅, 黄华华, 等. 运动自我效能在冠心病患者运动恐惧和体育活动量间的中介作用[J]. 中华护理教育, 2022, 19(12): 1119-1123.
[29] BÄCK M, CALDENIUS V, SVENSSON L, et al. Perceptions of Kinesiophobia in Relation to Physical Activity and Exercise After Myocardial Infarction: A Qualitative Study[J]. Phys Ther, 2020, 100(12): 2110-2119.
[30] 吴伊静. 流畅体验在体育锻炼与老年抑郁间的多重中介效应[J]. 中国老年学杂志, 2024, 44(12): 3051-3054.
[31] PRUGGER C, WELLMANN J, HEIDRICH J, et al.Regular exercise behaviour and intention and symptoms of anxiety and depression in coronary heart disease patients across Europe: Results from the EUROASPIRE III survey[J]. Eur J Prev Cardiol, 2017, 24(1): 84-91.
[32] 姜红梅. 老年冠心病心衰患者运动康复治疗中的心理干预的临床意义[D]. 济南: 山东大学, 2014.