急诊就诊心血管疾病患者体力活动现状及影响因素分析

孙 妍*, 张 瑾, 曾 霞, 鲜 奇男
四川省医学科学院·四川省人民医院（电子科技大学附属医院）急诊医学科

摘要


目的：调查急诊就诊心血管疾病患者体力活动现状及影响因素。方法：采用便利抽样法，选取2023年12月
至2024年07月在成都市某三级甲等医院急诊科就诊的心血管疾病患者作为研究对象，通过查阅病历资料现场问卷调
查方式调查。研究工具包括一般资料调查表、国际体力活动问卷短卷、健康问卷抑郁自评量表、运动自我效能量表
和社会支持评估量表。使用Excel表格录入数据，使用SPSS 26.0对数据进行统计分析。结果：1080例患者，体力活
动普遍偏低，只有380人（37.3%）患者达到了指南推荐的活动量。回归分析结果显示，抑郁自评、运动效能、社会
支持进入回归方程，共解释急诊就诊心血管疾病患者体力活动总变异程度的26.7%。结论：心血管疾病患者体力活动
状况不佳。

关键词


急诊就诊；心血管疾病；体力活动

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参考


[1]Mortensen K, Rudolph V, Willems S, Ventura R.

New developments in antibradycardic devices[J]. Expert Rev

Med Devices, 2007, 4(3): 321-333.

[2]沈佳鑫.24万余例成人急诊患者疾病谱构成及特

征分析[D].天津医科大学，2019.

[3]Wu NN, Tian H, Chen P, Wang D, Ren J, Zhang Y.

Physical Exercise and Selective Autophagy: Benefit and Risk

on Cardiovascular Health[J]. Cells, 2019, 8(11): 1436.

[4]Cai C, Liu FC, Li JX, Huang KY, Yang XL, Chen

JC, Liu XQ, Cao J, Chen SF, Shen C. Effects of the total

physical activity and its changes on incidence, progression, and

remission of hypertension[J]. J Geriatr Cardiol, 2021, 18(3):

175-184.

[5]Xing W, Li Y, Zhang H, Mi C, Hou Z, Quon

MJ, Gao F. Improvement of vascular insulin sensitivity

by downregulation of GRK2 mediates exercise-induced

alleviation of hypertension in spontaneously hypertensive

rats[J]. Am J Physiol Heart Circ Physiol, 2013, 305(8):

H1111-1119.

[6]Vaccarezza M, Papa V, Milani D, Gonelli A,

Secchiero P, Zauli G, Gemmati D, Tisato V. Sex/GenderSpecific Imbalance in CVD: Could Physical Activity Help

to Improve Clinical Outcome Targeting CVD Molecular

Mechanisms in Women?[J]. Int J Mol Sci, 2020, 21(4): 1477.

[7]陈伟伟，高润霖，刘力生，朱曼璐，王文，王拥

军，吴兆苏，李惠君，顾东风，杨跃进.《中国心血管病

报告2017》概要[J].中国循环杂志，2018，33（01）：1-8.

[8]Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN,

Katzmarzyk PT. Effect of physical inactivity on major noncommunicable diseases worldwide: an analysis of burden of

disease and life expectancy[J]. The Lancet, 2012, 380(9838):

219-229.

[9]Liu Y, Lee DC, Li Y, Zhu W, Zhang R, Sui X,

Lavie CJ, Blair SN. Associations of Resistance Exercise with

Cardiovascular Disease Morbidity and Mortality[J]. Med Sci

Sports Exerc, 2019, 51(3): 499-508.

[10]Rees-Punia E, Deubler E, Campbell P, Gapstur

SM, Patel A. Light-Intensity Physical Activity in a Large

Prospective Cohort of Older US Adults: A 21-Year FollowUp of Mortality[J]. Gerontology, 2020, 66(3): 259-265.

[11]Jeong SW, Kim SH, Kang SH, Kim HJ, Yoon CH,

Youn TJ, Chae IH. Mortality reduction with physical activity

in patients with and without cardiovascular disease[J]. Eur

Heart J, 2019, 40(43): 3547-3555.

[12]Colantonio LD, Shannon ED, Ortaglia A, Rosenson

RS. Timing of cardiovascular events in relation to time of

day[J]. J Am Coll Cardiol, 2021, 77(1): 62-70.

[13]Chen L, Yang G, Zhang Y. The impact of stroke on

emergency department visits and hospitalizations in middleaged and older adults[J]. Stroke, 2022, 53(4): 1111-1118.

[14]Hu FB, Willett WC, Li T, Stampfer MJ, Manson JE.

Adiposity as compared with physical inactivity in predicting

risk of cardiovascular disease in women[J]. Circulation, 2020,

117(13): 165-169.

[15]Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN,

Katzmarzyk PT. Effect of physical inactivity on major noncommunicable diseases worldwide: an analysis of burden of

disease and life expectancy[J]. The Lancet, 2020, 380(9838):

219-229.

[16]Lavie CJ, Arena R, Swift DL, Johannsen NM, Sui

X, Lee DC, Blair SN. Exercise and the cardiovascular system:

clinical science and cardiovascular outcomes[J]. Circ Res,

2019, 117(2): 207-219.

[17]Mammen G, Faulkner G. Physical activity and the

prevention of depression: a systematic review of prospective

studies[J]. Am J Prev Med, 2019, 45(5): 649-657.

[18]Bandura A. Self-efficacy: The exercise of

control[M]. New York: Freeman, 1997: 604.

[19]Uchino BN. Social support and physical health:

Understanding the health consequences of relationships[M].

Yale University Press, 2020.

[20]Pereira AC, Araujo DV, Nascimento BR, et al.

Genetic susceptibility and physical activity in cardiovascular

diseases: a review of current evidence[J]. Cardiovasc Res,

2020, 116(6): 995-1005.

[21]Saelens BE, Handy SL. Built environment correlates

of walking: a review[J]. Med Sci Sports Exerc, 2008, 40(7

Suppl): S550-S566.

[22]Flegal KM, Kruszon-Moran D, Carroll MD, Fryar

CD, Ogden CL. Trends in obesity among adults in the

United States, 2005 to 2014[J]. JAMA, 2019, 315(21): 2284-

2291.


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