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ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Cardiovascular Nursing
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1561505
This article is part of the Research Topic Cardiac Rehabilitation View all 7 articles
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Objective Kinesiophobia is prevalent among patients with coronary heart disease (CHD). This study aimed to explore whether psychologically-informed cardiac rehabilitation (CR) could positively influence the reduction of kinesiophobia in CHD patients. Methods A total of 86 CHD patients, who sought treatment at Bethune International Peace Hospital between June 2022 and June 2023, were selected and divided into two groups: a psychological intervention group comprising 42 patients and a conventional CR group of 44 patients. The conventional CR group received standard CR intervention, whereas the psychological intervention group underwent CR intervention augmented with psychological support. The effectiveness of these interventions was evaluated using the Self-Rating Depression Scale (SDS), the Self-Rating Anxiety Scale (SAS), the Multidimensional Exercise Self-Efficacy Scale (MSES), the TSK-Heart (for assessing kinesiophobia in cardiac patients), and the Short Form Health Survey (SF-36) scores.Following the intervention, the SDS and SAS scores of the psychological intervention group were higher than those of the conventional CR group. The MSES dimension scores and the total score of the psychological intervention group were elevated in comparison to the CR group. Conversely, the TSK-Heart dimension scores and the total score of the psychological intervention group were diminished relative to the CR group. Additionally, the SF-36 dimension scores and total score of the psychological intervention group surpassed those of the CR group post-intervention.The integration of psychologically-supported CR into the rehabilitation regimen for CHD patients effectively mitigates negative emotions, enhances self-efficacy, and markedly reduces kinesiophobia, thus significantly improving overall quality of life.
Keywords: psychological intervention, Cardiac Rehabilitation, coronary heart disease, Kinesiophobia, Quality of Life
Received: 16 Jan 2025; Accepted: 26 Mar 2025.
Copyright: © 2025 Guo, Li, Sun and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
XiaoPing Guo, Bethune International Peace Hospital, Shijiazhuang, Hebei Province, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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