Abstract:

Objective To investigate the level of kinesiophobia in patients undergoing coronary artery bypass grafting（CABG） and analyze the influencing factors，so as to provide references for rehabilitation exercise intervention in patients with CABG. Methods A convenient sampling method was used to select 249 patients with CABG hospitalized in 3 tertiary hospitals in Urumqi，Xinjiang from January 2022 to August 2022. A month after the CABG，the general information questionnaire，the Tampa Scale for Kinesiophobia Heart（TSK-SV Heart），Multidimensional Fatigue Symptom Inventory-Short Form（MFSI-SF-C） and Exercise Self-Efficacy Scale（PSE） were conducted for investigation. Latent class analysis（LCA） was used to explore the potential categories of kinesiophobia among patients with CABG. Single factor analysis and logistic regression analysis were used to identify the factors associated with the potential categories of kinesiophobia. Results A total of 249 patients were included. Based on the analysis of potential categories，the kinesiophobia of patients with CABG was divided into 2 potential categories，namely high fear-kinesiophobia group（59.4%） and low fear-exercise avoidance group（40.6%）. The results of logistic regression analysis showed that gender，body mass index（BMI），MFSI-SF-C score and PSE score were important factors of the potential categories of kinesiophobia in CABG patients. Conclusion The kinesiophobia of patients with CABG can be divided into 2 latent classes. Patients with the gender of female，body mass index≥24.0，a high MFSI-SF-C score and a low PSE score were more likely to be classified into the high fear-kinesiophobia group. Healthcare providers should identify the characteristics and influencing factors of different latent classes of CABG patients，and carry out individualized intervention strategies，in order to reduce the kinesiophobia.

Key words: Coronary Artery Bypass, Off-Pump, Kinesiophobia, Health Promotion, Root Cause Analysis, Rehabilitation Nursing

摘要：

目的 探索冠状动脉旁路移植术（coronary artery bypass grafting，CABG）患者运动恐惧的现状并分析影响因素，为CABG患者康复运动的干预提供参考。 方法 采用方便抽样法，选取2022年1月—8月于乌鲁木齐市3所三级甲等医院就诊的CABG患者作为调查对象。于患者术后1个月，采用一般资料调查表、中文版心脏病患者运动恐惧量表、中文版多维度疲劳症状简表和锻炼行动自我效能量表进行调查。对CABG患者的运动恐惧特征进行潜在类别分析，并通过单因素分析和Logistic回归分析探索其潜在类别的影响因素。 结果 共纳入CABG患者249例，潜在类别分析拟合结果显示，CABG患者运动恐惧可分为2个潜在类别，分别命名为“高恐惧-运动恐惧组”（59.4%）和“低恐惧-运动回避组”（40.6%）；Logistic回归分析结果显示，性别、体重指数、多维度疲劳症状、锻炼行动自我效能是CABG患者运动恐惧潜在类别的影响因素。 结论 CABG患者运动恐惧可分为2类。女性、体重指数≥24.0、多维度疲劳症状得分高、锻炼行动自我效能得分低的CABG患者归为“高恐惧-运动恐惧组”的概率较大。医护工作者应识别不同潜在类别CABG患者的特征及影响因素，开展个性化的干预策略以减轻CABG患者运动恐惧程度。

关键词: 冠状动脉旁路移植术, 非体外循环, 运动恐惧, 健康促进, 影响因素分析, 康复护理