Objective To explore the status and development trend of kinesiophobia after percutaneous coronary intervention（PCI） in patients with acute myocardial infarction（AMI）,and to provide evidence for the best intervention time point of kinesiophobia. Methods From November 2020 to June 2021,a total of 105 patients with AMI after PCI admitted to the Department of Cardiology of tertiary A general hospitals in Hangzhou were selected by convenience sampling method. The general data questionnaire,tampa scale of kinesiophobia-heart and cardiac anxiety questionnaire were used to investigate and observe the degree of kinetophobia and psychogenic anxiety at 3 time points（within 1 week of hospitalization,2 weeks after discharge and 3 months after discharge）. Results The kinesiophobia scores of AMI patients at 3 time points after PCI were（40.82±5.40）,（41.90±4.60）,（37.40±3.35）,which were higher than the norm（32.20±7.40）. The results of repeated measure ANOVA showed that different time,different age groups and cardiac anxiety significantly affected the score of kinesiophobia（P=0.022,P=0.048,P<0.001）. After the control for covariates,different time had a significant interaction with age（P=0.013）,T1 and T2 time had significant interaction with cardiac anxiety（P=0.001,P<0.001）. Conclusion Due to the interaction of time, age and cardiac anxiety, the level of kinetophobia in AMI patients was higher after PCI and within 3 months after discharge. At T2 time point, the score of kinesiophobia and cardiac anxiety in the young and middle-age groups was significantly higher than those in the elderly group. The trajectory of kinesiophobia showed a slight increase in acute convalescence period,and a natural trend of gradual decrease in middle and post convalescence period. The kineophobia kinesiophobia of AMI patients after PCI lasts for a long time with a wide impact,so it is necessary to timely carry out interventions.

Cardiac rehabilitation can help to reduce the total mortality of 13%~24% of patients and 31% of the hospital readmission rate within one year in the secondary prevention of cardiovascular disease. It's the first-level recommendation for cardiovascular disease prevention,but patients always have low compliance. The emergence of virtual reality technology has helped to break the limitations of traditional cardiac rehabilitation time,location and traffic,and to increase the participation of patients in cardiac rehabilitation,which has become an auxiliary means of cardiac rehabilitation. This article reviews the development,technical types,using methods,precautions and application effects of virtual reality technology in cardiac rehabilitation,and provides a reference for the development of virtual reality technology in cardiac rehabilitation in our country.

Objective To design a misaspiration risk screening table for patients after neurologic tumor surgery,and to provide a scienfitic and effective tool for early screening the occurrence of misaspiration of those postoperative patients.Methods The literature analysis and Delphi method were used to establish the aspiration risk rate screening table for brain tumor surgery patients. Patients who underwent neurological tumor resection from January to June 2018 were selected as the control group,and patients who underwent neurological tumor resection from July to December 2018 were selected as the experimental group. The “Kubota drinking water test” was used in the control group for screening the aspiration risk rate;the experimental group was treated with aspiration risk rate screening table to investigate the aspiration risk. The detection rate of aspiration risk,the incidence of aspiration and the average length of hospital stay were compared in these two groups.Results The application of the aspiration rate screening table in patients after excision of brain tumor improved the detection rate of aspiration risk（P<0.001）,reduced the incidence of aspiration rate（P<0.001） and shortened the average length of hospital stay（P<0.05）.Conclusion The application of the aspiration rate screening table can increase the detection rate of aspiration risk,make nursing staff quickly and accurately assess the risk of aspiration of hospitalized patients and then apply the individualized prevention strategies according to different levels of risk in different patients to reduce the occurrence of aspiration,shorten the average length of hospital stay,and improve the quality of medical treatment and nursing.