Study on Physical Activity Status and Influencing Factors of Elderly Patients with Chronic Heart Failure

Abstract

Abstract: Objective To explore the physical activity status and influencing factors of elderly patients with chronic heart failure. Methods From June 2021 to December 2023, 204 elderly patients with chronic heart failure who were hospitalized in the Department of Geriatrics and Cardiology, First Affiliated Hospital of Nanjing Medical University were selected. Physical activity (IPAQ), exercise fear scale for heart patients (TSK-SV Heart), quality of life rating scale (SF-36) and self-burden scale (SPBS) were used to investigate them. Single factor analysis used variance analysis, independent sample T test, and multivariate analysis used multiple linear regression analysis. Results The physical activity of 72% elderly patients with chronic heart failure was in the middle and low level. The results of correlation analysis show that age, family income, education level, heart failure degree, living condition, exercise fear degree, quality of life level and self-burden level are the influencing factors of physical activity of elderly patients (P<0.05). Conclusion The elderly patients with chronic heart failure have obvious lack of physical activity, and the influencing factors on their physical activity level are as follows, especially the elderly, serious heart failure, serious exercise fear, low quality of life and the heavier self-burden level.

Key words: elderly heart failure, physical activity, fear of exercise, quality of life, self-financing, influencing factor

CLC Number:

R541.6+1

JIANG Li, HU Xiao-lin, GAO Yun-jing, TANG Yi-fan, YANG Lei. Study on Physical Activity Status and Influencing Factors of Elderly Patients with Chronic Heart Failure[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(18): 7-11.

References

[1] 李雯曦,刘国顺,彭程,等.老年慢性心衰患者抑郁焦虑状态与血清炎症标志物的相关性[J].中华神经医学杂志,2020,19(12):1228-1234.
[2] 李世军. 老年人心力衰竭流行病学和病理生物学及预后的研究进展[J].中华老年心血管病杂志,2021,23(3) :318-320.
[3] 陈艳枚,李子峰,李贤德.2015-2050年中国人口老龄化趋势与老年人口预测[J].中国社会医学杂志,2018,35(5):48-53.
[4] TOWNSENT N, WILSON L, BHATNAGAR P, et al.Cardiovascular disease in Europe 2016.an epidemiological update[J]. Eur Heart J,2016,37(42): 3182-3183.
[5] 于涛,李明子,赵立新,等.急诊心肌梗死患者恢复期体力活动状况的调查分析[J].中华现代护理杂志,2016,22(8):1064-1070.
[6] PONIKOWSKI P, VOORS A A, ANKER S D, et al.2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure[J].Eur Heart J,2016:1-85.
[7] 吴佳奇,曹小翠,陈洁红,等.冠心病患者运动康复与现状及其影响因素研究进展[J].中国护理管理,2021,21(8):1245-1249.
[8] 冯青静,胡同秀,孙丹丹.冠心病患者康复运动知信行现状及影响因素研究[J].护理管理杂志,2021,21(1):1-5.
[9] FILARDOG, ROFFIA, MERLING, et al. Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty[J].Knee Surg Sports Traumatol Arthrosc, 2016,24(10):3322-3328.
[10] 中华医学老年医学分会心血管疾病学组,《老年慢性心力衰竭诊治中国专家共识》编写组.老年人慢性心力衰竭诊治中国专家共识(2021)[J].中华老年医学杂志,2021,40(5) : 550-561.
[11] 屈宁宁,李可基.国际体力活动问卷中文版的信度和效度研究[J].中华流行病学杂志,2004,25(3):265-268.
[12] BÄCK M, JANSSON B, CIDER Å, et al. Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease[J].J Rehabil Med, 2012,44(4):363-369.
[13] 蒋莉,高春红,胡晓琳,等.云平台管理模式在老年PCI术后病人心脏康复中的应用[J].实用老年医学,2022,36(12):1296-1299.
[14] 许少英,刘倩,冼志莲,等.老年慢性阻塞性肺疾病患者自我感受负担的调查分析[J].中华护理杂志,2011,46(9):914-916.
[15] 马爱娟,董忠,李航,等.2014年北京市成年人体力活动现况调查[J].首都公共卫生,2017,11(1):26-28.
[16] 张琪,魏丹,高玥,等.风险管理联合精准护理在老年慢性疾病患者躯体功能维护及安全管理中的应用研究[J].四川大学学报,2023,54(4):804-810.
[17] 刘思雨,戴付敏,王留义,等.社区共病老年人智能家居应用研究进展[J].护理研究,2020,34(4):647-650.
[18] 李莺,冯雪,陈碧云,等.冠心病术后患者体力活动与运动能力的相关性分析[J].中华现代护理杂志,2021,27(20):2673-2679.
[19] 程萌,王健,李志鹏,等.社区跌倒高风险老年人跌倒项目参与意愿及其影响因素研究[J].中国全科医学2022,25(34):4286-4291.
[20] 李相萱,澎家芹.心脏康复与心血管疾病的研究进展[J].中国老年学杂志,2021,41(16):3629-3632.
[21] KNAPIK A, DABEK J, GALLERT-KOPYTO W, et al.Psychometric fea- tures of the Polish version of TSK heart in elderly patients with coronary artery disease[J].Medicina(Kaunas),2020,56(9):467.
[22] ALBERT N M, FORNEY J, SLIFCAK E, et al.Understanding physical activity and exercise behaviors in patients with heart failure[J].Heart Lung,2015,44(1):2-8.
[23] FARRISSG, ABRANTESAM, BONDD S, et al.Anxiety and fear of exercise in cardiopulmonary rehabilitation:PATIENT AND PRACTITIONERPERSPECTIVES[J].JournalofCardiopulmo- nary Rehabilitation and Prevention,2019,39(2):E9-E13.
[24] WARDOKU R, BLAIR C, DEMMER R, et al.Association between physical inactivity and health-related quality of life in adults with coronary heart disease[J].Maturias,2019,128:36-42.
[25] 秦静雯,熊娟娟,潘鑫,等.老年慢性心力衰竭患者运动恐惧现状及影响因素分析[J].中华护理杂志,2022,57(4):408-414.
[26] 周苗,郭晓岚.以认知行为疗法为主的双心护理在急性心肌梗死术后焦虑患者的应用效果研究[J].实用心脑肺血管病杂志,2022,30(1):108-112.
[27] 宋晓梅,彭艳婷,安利杰,等.冠心病病人运动恐惧现状及影响因素分析[J].全科护理,2022,20(1):94-97.
[28] 卢婧,刘志洪.家属参与式护理对老年冠心病患者PCI术后患者心理状态及并发症的影响[J].河北医药,2021,43(3):457-463.