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目的 探讨慢性心力衰竭(chronic heart failure, CHF)患者运动恐惧的潜在类别及影响因素。方法 于2022年10月—2023年11月选取江苏省某三级甲等医院住院的301例CHF患者，使用一般资料调查表、中文版心脏病患者运动恐惧量表、中文版患者健康量表、广泛性焦虑障碍量表、家庭关怀度指数问卷进行调查。采用潜在剖面分析识别患者运动恐惧的潜在类别，运用无序多分类logistic回归分析不同类别的影响因素。结果 CHF患者运动恐惧分为“低运动恐惧-低危险感知型(59.8%)”“中运动恐惧-高运动回避型(31.9%)”“高运动恐惧-高功能紊乱型(8.3%)”3个类别；无序多分类logistic回归结果显示，年龄、性别、照顾者、职业状况、文化水平、抑郁、焦虑是不同类别的影响因素(均P<0.05)。结论 CHF患者运动恐惧水平存在显著异质性，医护人员应关注不同患者运动恐惧特征，实施针对性的干预方案，以降低运动恐惧水平。
Abstract：Objective To explore the latent classes and influencing factors of kinesiophobia fear in patients with chronic heart failure(CHF). Methods From October 2022 to Novembe 2003,A total of 301 CHF patients hospitalized in a tertiary hospital in Jiangsu province were selected, and were assessed using a general information questionnaire, the kinesiophobia scale, the Chinese version of the patient health questionnaire(PHQ-9), the generalized anxiety disorder scale(GAD-7), and the family care index questionnaire. Latent profile analysis was utilized to identify the latent classes of exercise fear among the patients, and multinomial logistic regression was employed to analyze the influencing factors of different classes. Results Exercise fear in CHF patients was categorized into 3 latent classes: "low exercise fear-low risk perception type"(59.8%), "moderate exercise fear-high exercise avoidance type"(31.9%), and "high exercise fear-high functional disorder type"(8.3%). Regression results indicated that gender, age, caregiver, occupation, educational level, depression, and anxiety were significant influencing factors for different classes(all P<0.05).Conclusion There is significant heterogeneity in the levels of exercise fear among CHF patients, and healthcare providers should pay attention to the specific characteristics of exercise fear in different patients and implement targeted intervention programs to reduce exercise fear levels.
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基本信息:
DOI：10.16821/j.cnki.hsjx.2025.08.001
中图分类号:R473.5
引用信息:
[1]高杰,朱春勤,曾兰.慢性心力衰竭患者运动恐惧潜在剖面分析及影响因素研究[J].护士进修杂志,2025,40(08):785-790.DOI:10.16821/j.cnki.hsjx.2025.08.001.
基金信息:
江苏省卫生健康委员会科技基金项目(编号：YB2020011)