| Objective:Through understanding the current situation of exercise fear in patients with coronary heart disease,the correlation between exercise phobia mood disorder and quality of life in patients with coronary heart disease was studied,in order to provide reference for future clinical intervention and improve the quality of life of patients.Methods:Patients with coronary heart disease who were hospitalized in our department from December 2020 to December 2021 and qualified for inclusion after percutaneous coronary angiography were selected.Patients who met the inclusion criteria and agreed to participate in the survey were surveyed by general condition questionnaire,self-rating Anxiety Scale(SAS),Tampa Scale for kinesiophobia Heart(TSK-SV),Self-rating Depression Scale(SDS)and Brief Quality of Life Scale(SF-36).Results:1.Among 189 patients,107(56.6%)were kinesophobes and 82(43.4%)were non-kinesophobes.Male CHD patients had a higher incidence of mophobia than female patients(50.5% VS 49.5%),and the difference was statistically significant(P<0.05);The standard deviation of age in the fear group(65.27±8.09 VS 58.83±7.03)was higher than that in the non-fear group,and the difference was statistically significant(P<0.05);The incidence of mophobia was higher in patients with low education level than in those with high education level(86.9% VS 13.1%),and the results were statistically significant(P<0.05);The incidence of motility was higher in patients with lower income level than in those with higher income level(62.6% VS 32.4%),and the difference was statistically significant(P<0.05),while BMI,marital status,alcohol consumption and smoking history had no statistical significance(P<0.05).2.The SAS standard score(50.66±7.92 VS 44.16±6.87)and SDS standard score(54.60±7.79 VS 46.84±4.24)of patients with kinesophobia coronary heart disease were higher than those of non-kinesophobia patients,and the difference between groups was statistically significant(P<0.05).3.The physiological function of mophobia CHD group was lower than that of non-mophobia CHD group(76.75±9.53 VS 82.76±7.70),and the results were statistically significant(P<0.05);The physical function,physical pain,general health status,energy,social function,emotional function,mental health and health changes in the CHD group with kinetophobia were lower than those in the CHD group without kinetophobia,and the results were statistically significant(P<0.05).4.Among 189 patients,71(37.6%)were anxious and 64(33.9%)were depressed.The physiological function of anxiety and depression group was lower than that of non-anxiety and depression group,and the results were statistically significant(P<0.05);Anxiety and depression group were lower than non-anxiety and depression group in reported health,transitionbodily pain,general health,Vitality,social functioning,role emotional,mental health reported,health transition,the results were statistically significant(P<0.05).5.There was a significant negative correlation between s F-36 and fear(r=-0.804)anxiety(r=-0.741)depression(r=-0.784)(P<0.05).6.The direct effects of exercise fear on SDS SAS standard sub-path were 0.389 and0.529,and the direct effects,indirect effects and total effects on quality of life path were-0.574 to 0.155 and-0.729,respectively.The direct effects of SAS SDS standard score on quality of life path were-0.698 and-0.765,respectively,and the results were statistically significant(P<0.05).Conclusion:1.Anxiety and depression were more common in the CHD group with mophobia than in the non-mophobia group.2.Anxiety,depression and sports phobia were all negative factors of CHD patients’ quality of life.3.Kinetophobia can directly affect the quality of life,and indirectly affect the quality of life through anxiety and depression as intermediate factors. |
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