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

刘飞燕; 田丹丹; 何平平; 胡琼燕; 欧政斌; 曹吉霞; 张颖仪

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湖南师范大学学报医学版 ›› 2024, Vol. 21 ›› Issue (4) : 180-186.

护理学

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

刘飞燕¹, 田丹丹^1,2, 何平平^1,3, 胡琼燕¹, 欧政斌¹, 曹吉霞¹, 张颖仪¹

作者信息 +

Current status and influencing factors of barriers to physical activity in elderly patients with coronary artery disease and diabetes mellitus

LIU Feiyan¹, TIAN Dandan^1,2, HE Pingping^1,3, HU Qiongyan¹, OU Zhengbin¹, CAO Jixia¹, ZHANG Yingyi¹

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文章历史 +

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。

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.

导出引用

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[J]. Journal of Hunan Normal University(Medical Science). 2024, 21(4): 180-186

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