关键词: 老年, 急性ST段抬高型心肌梗死, 经皮冠状动脉介入治疗, 运动恐惧, 自我感受负担, 应对方式

Abstract: Objective: To investigate the current status and influencing factors of kinesiophobia in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention. Methods: A total of 157 elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention were included by convenient sampling method from cardiac care units. TSK-SV Heart, Self-Perceived Burden Scale and Simplified Coping Style Questionnaire were used in the investigation. Results: The score of TSK-SV Heart was 39.52±8.62, and 52.5% of the patients had kinesiophobia. Kinesiophobia was significantly influenced by gender, educational level, family income, negative coping and self-perceived burden.The total score of self-perceived burden partially mediated the relationship between negative coping and kinesiophobia. Conclusion: The incidence of kinesiophobia is high in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention. Medical staff should pay attention to the influencing factors of kinesiophobia and encourage patients to take active coping methods by reducing the self-perceived burden, then help patients adopting cardiac rehabilitation to prevent the occurrence of kinesiophobia.

Key words: Elderly, Acute ST-segment elevation myocardial infarction, Percutaneous coronary intervention, Kinesiophobia, Self-perceived burden, Coping style