■运动恐惧症表示患者对身体活动或运动的过度和非理性的担忧,源于对疼痛损伤或再损伤的敏感性。心脏康复在心血管疾病患者的二级预防范围中起着关键作用,运动构成了这个方案的基石。然而,运动恐惧症的出现带来了巨大的挑战,降低患者对心脏康复方案的依从性,尤其是那些患有慢性心力衰竭的人。为了支持该队列中基于运动的康复计划,必须彻底理解诱发运动恐惧症的多方面因素。这篇综述试图描述慢性心力衰竭患者的运动恐惧症触发因素的流行证据和患病率。同时为未来的探索确定研究空白。
■采用范围审查方法,我们的调查收集了来自不同学术数据库的数据,包括Embase,PubMed,Scopus,CINAHL,WebofScience,Medline,Sinomed,CNKI,王凡,和VIP。
■经过全面评估,最终纳入9项符合纳入标准的研究。
■我们的研究结果强调了慢性心力衰竭患者运动恐惧症的明显患病率,主要受社会人口因素影响,心理和认知因素,疾病和治疗因素,以及生活方式和行为。有了这些见解,未来的干预措施可以量身定做,以减轻运动恐惧症的水平,在慢性心力衰竭患者中加强参与以运动为中心的心脏康复工作。
UNASSIGNED: Kinesiophobia denotes an excessive and irrational apprehension towards physical activity or exercise among patients, stemming from a perception of susceptibility to painful injury or re-injury. Cardiac rehabilitation stands pivotal in the secondary prevention spectrum for individuals with cardiovascular ailments, with exercise constituting a cornerstone of this regimen. However, the emergence of kinesiophobia poses a formidable challenge, diminishing patient adherence to cardiac rehabilitation protocols, particularly among those grappling with chronic heart failure. To bolster exercise-based rehabilitation initiatives in this cohort, a thorough comprehension of the multifaceted factors precipitating kinesiophobia is imperative. This review endeavors to delineate prevailing evidence and prevalence concerning kinesiophobia triggers in chronic heart failure patients, while pinpointing research lacunae for future exploration.
UNASSIGNED: Employing a scoping review methodology, our investigation culled data from diverse scholarly databases, including Embase, PubMed, Scopus, CINAHL, Web of Science, Medline, Sinomed, CNKI, Wangfan, and VIP.
UNASSIGNED: After thorough evaluation, 9 studies that met the inclusion criteria were ultimately incorporated.
UNASSIGNED: Our findings underscore a notable prevalence of kinesiophobia in chronic heart failure patients, predominantly influenced by socio-demographic factors, psychological and cognitive factors, disease and treatment factors, as well as lifestyle and behavior. Armed with these insights, future interventions can be tailored to mitigate kinesiophobia levels, fostering enhanced engagement in exercise-centric cardiac rehabilitation endeavors among patients grappling with chronic heart failure.