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Therapeutic effect of cardiac rehabilitation combined cogni-tive behavioral therapy on kinesiophobia in AMI patients

Wenmin Guo, Suqin Zhao, Liting Zhao

Article ID: 2121
Vol 3, Issue 2, 2022

VIEWS - 96 (Abstract)

Abstract

Objective: To study therapeutic effect of cardiac rehabilitation(CR)combined cognitive behavioral therapy(CBT)on kinesiophobia in patients with acute myocardial infarction(AMI). Methods: A total of 96AMI patients with kinesiophobia treated in our hospital were divided into CR group (n=47, were in hospital from Sep 2020 to Jan 2021and received routine CR treatment)and combined intervention group(n=49, were in hospital from Feb 2021 to Jun 2021and recerved CBT based on CR group), both groups were intervened for three months. General clinical data, scores of tampa scale for kinesiophobia heart(TSK-SV Heart), anxiety and depression scale and Barthel index(BI)before and after intervention were observed and compared between two groups. Results: During intervention, there was one case dropped out in CR group, and one case dropped out and two cases lost during follow-up in combined intervention group. Compared with CR group, three months after intervention, there were significant reductions in scores of TSK-SV Heart[(36.26±3.16)scores vs.(31.67±3.53)scores], anxiety scale [(7.39±2.05)scores vs.(5.78±1.47)scores]and depression scale[(6.28±2.10)scores vs.(4.65±2.50)scores] and significant rise in BI score[(94.46±4.11)scores vs.(96.41±3.60)scores]in combined intervention group(P<0.05or<0.01). Conclusion: CR combined CBT can significantly improve daily self-care living capacity, reduce level of kinesiophobia and relieve anxiety and depression in AMI patients with kinesiophobia.


Keywords

Objective: To study therapeutic effect of cardiac rehabilitation(CR)combined cognitive behavioral therapy(CBT)on kinesiophobia in patients with acute myocardial infarction(AMI). Methods: A total of 96AMI patients with kinesio-phobia treated in our hospita

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References

1. China Cardiovascular Health and Disease Report Compiling Group Summary of China Cardiovascu-lar Health and Disease Report 2019 [J] China Journal of Circulation, 2020, 35 (9): 833–854

2. [1] Benjamin EJ, Muntner P, Alonso A, et ai Heart Disease and Stroke Statistics–2019 Update: A Re-port From the American Heart Association [J]. Cir-culation, 2019, 139 (10): e56 —e528

3. Wang Rui Research on the process of natural cardiac rehabilitation of patients with acute myocardial in-farction based on patient experience [D]. Beijing: Peking Union Medical College, 2018

4. Shen X, Zhu X, Wu Y, et al.Effects of a psychological intervention programme on mental stress, coping style and immune function in percutaneous coronary intervention patients [J]. PLoS One, 2018, 13 (1):e0187745.

5. Anderson L, Thompson DR, Oldridge N, et al.Exercisebased cardiac rehabilitation for coronary heart disease [J]. Cochrane Database Syst Rev, 2016, 2016 (1):CD001800.

6. Won MH, Son YJ. Perceived Social Support and Physical Activity Among Patients With Coronary Artery Disease [J]. West J Nurs Res, 2017, 39 (12):1606–1623.

7. Han Jingyi, Liu Fangli, Zhang Hongmei, et al. Analysis of physical activity status and influencing factors of patients with coronary heart disease after PCI [J] Modern Preventive Medicine, 2020, 47 (14): 2677–26802684

8. Hu Wen. Cultural adaptation of simplified Chinese version of TSK and FABQ scales and their applica-tion in degenerative low back and leg pain [D]. Shanghai: Second Military Medical University, 2012

9. Brunetti ND, Guerra A, Ieva R, et al.Scared for the scar: fearsome impact of acute cardiovascular dis-ease on perceived kinesiophobia(fear of move-ment)[J]. Clin Cardiol, 2017, 40 (7):480–484.

10. Bäck M, Lundberg M, Cider A, et al.Relevance of Kinesiophobia in Relation to Changes Over Time Among Patients After an Acute Coronary Artery Disease Event[J]. J Cardiopulm Rehabil Prev, 2018, 38 (4):224–230.

11. Cai Libo, Liu Yanjin, Li Ying, et al. Study on the application of multidisciplinary collaborative in-tervention scheme in patients with phobia after total knee replacement [J]. Chinese Journal of Nursing, 2020, 55 (4): 494–499

12. Baykal Ş ahin H, Kalaycio ğ lu E, Ş ahin M.The effect of cardiac rehabilitation on kinesiophobia in pa-tients with coronary artery disease [J]. Turk J Phys Med Rehabil, 2021, 67 (2):203–210.

13. Thygesen K, Alpert JS, Jaffe AS, et al.Fourth Uni-versal Definition of Myocardial Infarction(2018)[J]. J Am Coll Cardiol, 2018, 72 (18):2231–2264.

14. Richmond H.Using a CBT approach to manage low back pain[J]. Nurs Times, 2016, 112 (18):12–14.

15. Bäck M, Jansson B, Cider A, 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.

16. Lei Mengjie, Liu Tingting, Xiong Siqi, et al. The sinicization, reliability and validity of the exercise fear scale for patients with heart disease [J] China Nursing Management, 2019, 19 (11): 1637–1642

17. Worcester MU, Elliott PC, Turner A, et al.Resumption of work after acute coronary syn-drome or coronary artery bypass graft surgery [J]. Heart Lung Circ, 2014, 23 (5):444–453.

18. Acar S, Savci S, Keskinog ˇ lu P, et al.Tampa Scale of Kinesiophobia for Heart Turkish Version Study:cross-cultural adaptation, exploratory factor analysis, and reliability [J]. J Pain Res, 2016, 9:445–451.

19. Tungare N, Nagarwala R, Shyam A, et al.Factors affecting kinesiophobia in coronary artery disease patients [J]. Physiotherapy, 2020, 14 (1):32–36.

20. An H, He RH, Zheng YR, et al.Cognitive-Behavioral Therapy [J]. Adv Exp Med Biol, 2017, 1010:321–329.

21. Boswell JF.Intervention strategies and clinical pro-cess in transdiagnostic cognitive-behavioral therapy [J]. Psychotherapy(Chic), 2013, 50 (3):381–386.

22. Monticone M, Ambrosini E, Rocca B, et al.Group-based multimodal exercises integrated with cognitive-behavioural therapy improve disa-bility, pain and quality of life of subjects with chronic neck pain:a randomized controlled trial with one-year follow-up [J]. Clin Rehabil, 2017, 31 (6):742–752.

23. Alaca N, Kaba H, Atalay A.Associations between the severity of disability level and fear of movement and pain beliefs in patients with chronic low back pain [J]. J Back Musculoskelet Rehabil, 2020, 33 (5):785–791.

24. Keessen P, den Uijl I, Visser B, et al.Fear of move-ment in patients attending cardiac rehabilitation:A validation study[J]. J Rehabil Med, 2020, 52 (2):jrm0021.

25. Keessen P, Latour CHM, van Duijvenbode ICD, et al.Factors related to fear of movement after acute cardiac hospitalization [J]. BMC Cardiovasc Disord, 2020, 20 (1):495.

26. Knapik A, Dbek J, Gallert-Kopyto W, et al.Psychometric Features of the Polish Version of TSK Heart in Elderly Patients with Coronary Artery Disease [J]. Medicina(Kaunas), 2020, 56 (9):467.

27. Van Beek MH, Roest AM, Wardenaar KJ, et al.The Prognostic Effect of Physical Health Complaints With New Cardiac Events and Mortality in Patients With a Myocardial Infarction [J]. Psychosomatics, 2017, 58 (2):121–131.

28. Prugger C, Wellmann J, Heidrich J, et al.Regular exercise behaviour and intention and symptoms of anxiety and depression in coronary heart disease patients across Europe:Results from the EU-ROASPIRE III survey [J]. Eur J Prev Cardiol, 2017, 24 (1):84–91.

29. Reavell J, Hopkinson M, Clarkesmith D, et al.Effectiveness of Cognitive Behavioral Therapy for Depression and Anxiety in Patients With Car-diovascular Disease:A Systematic Review and Me-ta-Analysis[J]. Psychosom Med, 2018, 80 (8):742–753.

30. Zhang Jiyao, Zhu Luwen, Tang Qiang. Effect of TCM comprehensive therapy combined with exer-cise on cardiac rehabilitation of patients with cor-onary heart disease after PCI [J] Journal of Cardio-vascular and Cerebrovascular Diseases of Integrated Traditional Chinese and Western Medicine, 2021, 19 (12): 2112–2114

31. Jia Huijuan. Effect of resistance exercise on cardiac rehabilitation after PCI in patients with myocardial infarction [J] Nursing Practice and Research, 2018, 15 (1): 8–11


DOI: https://doi.org/10.54517/ccr.v3i2.2121
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