Study on sedentary behavior and its influencing factors in patients with arteriosclerosis obliterans

doi:10.3761/j.issn.0254-1769.2023.06.011

Abstract

Abstract:

Objective To investigate the current status of sedentary behavior and its influencing factors in patients with atherosclerosis obliterans（ASO）. Methods This study conveniently selected 148 patients with ASO who were hospitalized in the Department of Vascular Surgery of a tertiary hospital in Nanchang from October 2020 to January 2022 as the survey subjects. They were investigated using the general information questionnaire，the Chinese adult sedentary behavior questionnaire，the Barthel index，perceived social support scale（PSSS），short physical performance battery（SPPB） and visual analogue scale（VAS）. Results The daily sedentary time of ASO patients is 9.13±0.99 hours. Barthel index，PSSS，SPPB，and VAS scores were 82.19±16.58，43.18±6.70，8.23±2.01 and 4.26±1.03. The results of multiple linear regression analysis showed that age，number of comorbid chronic diseases，activities of daily living，perceived social support and lower extremity limb function were the main influencing factors of sedentary behavior in ASO patients. Conclusion Patients with ASO have high levels of sedentary behavior，and health professionals could develop targeted interventions to reduce the occurrence of sedentary behavior in patients by combining the appropriate influencing factors.

Key words: Arteriosclerosis Obliterans, Sedentary Behavior, Root Cause Analysis, Nursing Care

摘要：

目的调查下肢动脉硬化闭塞症（arteriosclerosis obliterans，ASO）患者静态行为现状及其影响因素。方法便利选取2020年10月—2022年1月在南昌市某三级甲等医院血管外科住院的148例ASO患者作为调查对象，使用一般资料调查表、中国成人静态行为问卷、Barthel指数、领悟社会支持量表、简易体能测试和视觉模拟评分对其进行调查。结=果 ASO患者静态行为总时间为（9.13±0.99） h/d，Barthel指数为（82.19±16.58）分、领悟社会支持量表得分为（43.18±6.70）分、简易体能测试为（8.23±2.01）分、视觉模拟评分为（4.26±1.03）分。多元线性回归分析结果显示，年龄、合并慢性病种类数、日常生活活动能力、领悟社会支持和下肢肢体功能是ASO患者静态行为的主要影响因素（P<0.05）。结论 ASO患者的静态行为水平较高，医护人员可结合相应影响因素制订有针对性的干预措施，以减少患者静态行为的发生。

关键词: 下肢动脉硬化闭塞症, 静态行为, 影响因素分析, 护理

LU Ying, GAN Hongyan, YANG Yujin, ZHENG Chunyan, YUAN Yanyan, ZOU Zhuanfang, BAI Liping. Study on sedentary behavior and its influencing factors in patients with arteriosclerosis obliterans[J]. Chinese Journal of Nursing, 2023, 58(6): 714-720.

逯莹, 甘红艳, 杨玉金, 郑春艳, 袁艳艳, 邹转芳, 白李平. 下肢动脉硬化闭塞症患者静态行为现状及其影响因素研究[J]. 中华护理杂志, 2023, 58(6): 714-720.

Figures/Tables 7

Table 1 Sedentary behavior in patients with arteriosclerosis obliterans（n=148）

Table 2 The scores of Barthel Index, VAS, PSSS and SPPB in patients with arteriosclerosis obliterans （n=148，score，$\bar{x}$±s）

Table 3 Univariate analysis of general data and time spent on sedentary behavior in patients with arteriosclerosis obliterans（n=148）

Table 3（Continued） Univariate analysis of general data and time spent on sedentary behavior in patients with arteriosclerosis obliterans（n=148）

Table 4 Correlation analysis of sedentary behavior time with perception of social support and short physical performance battery in patients with arteriosclerosis obliterans（r value）

Table 5 Independent variable assignment

Table 6 Multiple linear regression analysis of the time spent on sedentary behavior in patients with arteriosclerosis obliterans（n=148）

References 31

[1]	Lupilov A, Krause D, Klaassen-Mielke R, et al. Effects of three different methods defining onset of peripheral artery disease on the assessments of incidence and important predictors-results from the German epidemiological trial on ankle brachial index(getABI)[J]. Vasc Health Risk Manag, 2021, 17:421-429. DOI URL
[2]	袁丁, 赵纪春, 王铁皓, 等. 下肢动脉硬化闭塞症最新指南解读及意义[J]. 中国普外基础与临床杂志, 2018, 25(1):25-31.
	Yuan D, Zhao JC, Wang TH, et al. Latest guidelines for arteriosclerosis obliterans interpretation and implications[J]. Chin J Bases Clin Gen Surg, 2018, 25(1):25-31.
[3]	Hernandez H, Myers SA, Schieber M, et al. Quantification of daily physical activity and sedentary behavior of claudicating patients[J]. Ann Vasc Surg, 2019, 55:112-121. DOI PMID
[4]	Bull FC, Al-ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24):1451-1462. DOI URL
[5]	李星茹, 张超. 脑卒中患者久坐行为现状及其影响因素研究进展[J]. 护理学杂志, 2022, 37(11):106-109.
	Li XR, Zhang C. Sedentary behavior after stroke and its influencing factors:a literature review[J]. J Nurs Sci, 2022, 37(11):106-109.
[6]	Unkart JT, Allison MA, Parada HJ, et al. Sedentary time and peripheral artery disease:the Hispanic community health study/study of Latinos[J]. Am Heart J, 2020, 222:208-219. DOI URL
[7]	Yerramalla MS, van Hees VT, Chen M, et al. Objectively measured total sedentary time and pattern of sedentary accumulation in older adults:associations with incident cardiovascular disease and all-cause mortality[J]. J Gerontol A Biol Sci Med Sci, 2022, 77(4):842-850. DOI URL
[8]	Gardner AW, Montgomery PS, Wang M, et al. Association between meeting daily step count goals with ambulatory function and quality of life in patients with claudication[J]. J Vasc Surg, 2021, 73(6):2105-2113. DOI URL
[9]	Ritti-dias RM, Cucato GG, Oliveira MD, et al. Physical activity practice during COVID-19 pandemic in patients with intermittent claudication[J]. Rev Assoc Med Bras(1992), 2021, 67(Suppl 1):35-39. DOI URL
[10]	Ritti-dias RM, Correia MA, Carvalho JF, et al. Impact of the COVID-19 pandemic on health lifestyle in patients with peripheral artery disease:a cross-sectional study[J]. J Vasc Nurs, 2022, 40(1):54-58. DOI PMID
[11]	Loyen A, Clarke-Cornwell AM, Anderssen SA, et al. Sedentary time and physical activity surveillance through accelerometer pooling in four European countries[J]. Sports Med, 2017, 47(7):1421-1435. DOI PMID
[12]	宋安妮, 杜瑾, 孙娜雅, 等. 老年冠心病患者久坐行为的研究进展[J]. 护理学杂志, 2021, 36(18):110-113.
	Song AN, Du J, Sun NY, et al. Sedentary behaviors in elderly patients with coronary heart disease:a review[J]. J Nurs Sci, 2021, 36(18):110-113.
[13]	李康, 贺佳. 医学统计学[M]. 6版. 北京: 人民卫生出版社, 2013:120-121.
	Li K, He J. Medical statistics[M]. 6th ed. Beijing: People’s Medical Publishing House, 2013:120-121.
[14]	田甜, 古博文. 中国成人静态行为问卷的编制及信效度检验[J]. 中国健康教育, 2019, 35(6):525-529,545.
	Tian T, Gu BW. Development and evaluation on reliability and validity of Adult Sedentary Behavior Questionnaire in China[J]. Chin J Health Educ, 2019, 35(6):525-529,545.
[15]	Chen LY, Fang TJ, Lin YC, et al. Exploring the mediating effects of cognitive function,social support,activities of daily living and depression in the relationship between age and frailty among community-dwelling elderly[J]. Int J Environ Res Public Health, 2021, 18(23):12543. DOI URL
[16]	汪向东, 王希林, 马弘. 心理卫生评定手册[M]. 北京: 中国心理卫生杂志社, 1999:131-133.
	Wang XD, Wang XL, Ma H. Rating scales for mental health[M]. Beijing: Chinese Mental Health Journal House, 1999:131-133.
[17]	Welch SA, Ward RE, Beauchamp MK, et al. The Short Physical Performance Battery(SPPB):a quick and useful tool for fall risk stratification among older primary care patients[J]. J Am Med Dir Assoc, 2021, 22(8):1646-1651. DOI URL
[18]	余霞, 朱泉, 刘一卓. 基于多学科协作模式的术前访视对初次手术患者心理应激的影响[J]. 中国实用护理杂志, 2019, 35(31):2417-2422.
	Yu X, Zhu Q, Liu YZ. Effectiveness of multidisciplinary cooperation model-based preoperative visit on the psychological stress of patients to undergo surgery for the first time[J]. Chin J Prac Nurs, 2019, 35(31):2417-2422.
[19]	Whitaker KM, Buman MP, Odegaard AO, et al. Sedentary behaviors and cardiometabolic risk:an isotemporal substitution analysis[J]. Am J Epidemiol, 2018, 187(2):181-189. DOI PMID
[20]	Katzmarzyk PT, Powell KE, Jakicic JM, et al. Sedentary behavior and health:update from the 2018 physical activity guidelines advisory committee[J]. Med Sci Sports Exerc, 2019, 51(6):1227-1241. DOI URL
[21]	Kim Y, Lee E. The association between elderly people’s sedentary behaviors and their health-related quality of life:focusing on comparing the young-old and the old-old[J]. Health Qual Life Outcomes, 2019, 17(1):131. DOI
[22]	Alves Silva LM, Dos Santos Tavares DM, Rodrigues LR. Transition and factors associated with the level of physical activity combined with sedentary behavior of the elderly:a longitudinal study[J]. Biomedica, 2020, 40(2):322-335.
[23]	张燕, 王婷婷, 车路, 等. 高龄髋部骨折患者早期活动管理方案的构建及应用研究[J]. 中华护理杂志, 2019, 54(11):1615-1620. DOI
	Zhang Y, Wang TT, Che L, et al. Construction and application of early activity management scheme for elderly patients with hip fracture[J]. Chin J Nurs, 2019, 54(11):1615-1620. DOI
[24]	Dasilva VD, Tribess S, Meneguci J, et al. Time spent in sedentary behaviour as discriminant criterion for frailty in older adults[J]. Int J Environ Res Public Health, 2018, 15(7):1336. DOI URL
[25]	Kandola A, Stubbs B, Koyanagi A. Physical multimorbidity and sedentary behavior in older adults:findings from the Irish longitudinal study on ageing(TILDA)[J]. Maturitas, 2020, 134:1-7. DOI PMID
[26]	Dasilva JM, Verlengia R, Deoliveira JJ, et al. Associations between sociodemographic factors and physical activity and sedentary behaviors in adults with chronic diseases during COVID-19 pandemic[J]. Sports Med Health Sci, 2020, 2(4):216-220. DOI PMID
[27]	Pellegrin M, Bouzourène K, Mazzolai L. Exercise prior to lower extremity peripheral artery disease improves endurance capacity and hindlimb blood flow by inhibiting muscle inflammation[J]. Front Cardiovasc Med, 2021, 8:706491. DOI URL
[28]	Yasunaga A, Koohsari MJ, Shibata A, et al. Sedentary behavior and happiness:the mediation effects of social capital[J]. Innov Aging, 2021, 5(4):igab044. DOI URL
[29]	吴凡, 绳宇. 社会支持网络、自我效能及健康促进行为对老年人影响的路径分析[J]. 中华护理杂志, 2019, 54(11):1701-1706. DOI
	Wu F, Sheng Y. Pathway analysis of impact of social support network,self-efficacy and health promotion behavior on healthy aging among older adults[J]. Chin J Nurs, 2019, 54(11):1701-1706. DOI
[30]	周美景, 罗丹, 林征, 等. 炎症性肠病患者自我管理行为的影响因素分析[J]. 中华护理杂志, 2021, 56(4):550-555. DOI
	Zhou MJ, Luo D, Lin Z, et al. Analysis of influencing factors of self-management behavior in patients with inflammatory bowel disease[J]. Chin J Nurs, 2021, 56(4):550-555. DOI
[31]	German C, Makarem N, Fanning J, et al. Sleep,sedentary beha-vior,physical activity,and cardiovascular health:MESA[J]. Med Sci Sports Exerc, 2021, 53(4):724-731. DOI URL