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The level of physical activity and influencing factors among patients with coronary heart disease in stable period

  

  • Received:2016-07-04 Revised:2016-11-24 Online:2017-04-28 Published:2017-05-23

 
冠心病稳定期患者体力活动水平及影响因素研究

  

  1. 1.天津市第一中心医院; 2.天津医科大学护理学院
  • 作者简介:郑迓姝(1974-),女,主管护师,本科

Abstract:  

Objective: To investigate the level of physical activity and influencing factors among patients with coronary heart disease (CHD) in stable period. Methods: By convenient sampling method, totally 150 CHD patients in stable period were recruited into this study. They were asked to complete the General information questionnaire, MET questionnaire and IPAQ questionnaire. Results: 138 data of patients were effective, according to the MET numerical and activity time display, the level of physical activity among CHD patients in stable period showed that 44.2% of patients were in moderate level of physical activity, 30.4% of patients were in high level of physical activity, 25.4% of patients were in low level of physical activity, and the influencing factors included aged, sex, the severity of disease, self-care ability, and sports will, and so on. Conclusion: CHD patients in stable period need to strengthen their physical activity, according to the patients’ physical activity ability, health-care staff should formulate individualized intervention program of physical activity and improve the patient’s sports will in health education, to help patients get more health benefit.

Key words: Coronary heart disease patient in stable period, Physical activity, Cardiac function classification, Sports will

摘要: 目的:分析冠心病稳定期患者体力活动水平及其影响因素,为进一步开展冠心病稳定期患者的体力活动干预指导和运动康复教育提供科学的依据和参考信息。方法:使用自行设计的一般资料调查表和MET能量代谢当量量表及国际体力活动量表(IPAQ),采取方便抽样的方法,对天津市某三级医院心脏科的150例患者进行体力活动水平调查。结果:共收回有效问卷138份,根据MET能量代谢当量的数值和运动时间显示,冠心病稳定期患者有44.2%呈现为中度体力活动水平,30.4%体现为高度体力活动水平,25.4%体现为低度体力活动水平,其中年龄(t=-2.365,P=0.019)、性别(t=-2.629,P=0.010)、疾病严重程度(t=-3.878,P=0.000)、自理能力(t=-2.381,P=0.005)运动意愿(t=-3.274,P=0.001)等是影响冠心病稳定期患者体力活动能力的重要因素。结论:冠心病稳定期患者的体力活动锻炼需加强,护理人员需根据患者的体力活动能力制定个体化的体力活动干预方案,开展健康教育提高患者的运动意愿,力求使患者获得最大的健康益处,减少疾病支出,促进社会发展。

关键词: 冠心病稳定期, 体力活动, 心功能分级, 运动意愿