Volume 22 Issue 8
Aug.  2024
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XU Jing, ZHANG Hui, ZHONG Lei, LU Yawei, XIANG Xiaoting. Current status and influencing factors of sedentary behavior in patients with stable chronic heart failure[J]. Chinese Journal of General Practice, 2024, 22(8): 1305-1309. doi: 10.16766/j.cnki.issn.1674-4152.003622
Citation: XU Jing, ZHANG Hui, ZHONG Lei, LU Yawei, XIANG Xiaoting. Current status and influencing factors of sedentary behavior in patients with stable chronic heart failure[J]. Chinese Journal of General Practice, 2024, 22(8): 1305-1309. doi: 10.16766/j.cnki.issn.1674-4152.003622

Current status and influencing factors of sedentary behavior in patients with stable chronic heart failure

doi: 10.16766/j.cnki.issn.1674-4152.003622
Funds:

 2020YFC2006502

  • Received Date: 2023-12-13
    Available Online: 2024-11-19
  •   Objective  To understand the current status of sedentary behavior in patients with stable chronic heart failure (CHF) and analyze its influencing factors, to provide a theoretical basis for formulating targeted intervention measures in the later stage.  Methods  A total of 196 patients with chronic heart failure who visited the outpatient department of Cardiovascular Medicine in the First Affiliated Hospital of Anhui Medical University from April 2023 to October 2023 were selected by the convenient sampling method. The general information questionnaire, international physical activity questionnaire short form (IPAQ-SF), Barthel index (BI), cardiac exercise self-efficacy instrument (CESEI), social support rating scale (SSRS), and self-rating depression scale (SDS) were used to investigate, logistic regression was used to explore the influencing factors.  Results  The average daily sedentary time of the stable chronic heart failure patients was (8.19±2.71) h, and the total sedentary behavior time of 131 patients (66.84%) was more than 6 hours. Univariate results showed that there were statistically significant differences in sedentary behavior among chronic heart failure patients with different genders, age, BMI, education level, number of exacerbations in the past year, degree of dependence, cardiac function classification, depression degree, self-efficacy score of cardiac rehabilitation exercise and social support score (P < 0.05), logistic regression analysis showed that age (OR=1.964, P=0.001), BMI (OR=0.474, P=0.007), heart function grade of NYHA (OR=3.854, P=0.001), self-efficacy of cardiac rehabilitation exercise (OR=0.940, P=0.027) and depression (OR=2.863, P=0.009) were the influencing factors of sedentary behavior in patients with stable chronic heart failure.  Conclusion  The sedentary time of patients with stable chronic heart failure is longer, and sedentary behavior is common. In the future, medical staff can take effective interventions to reduce the sedentary behavior of patients and improve their prognosis.

     

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  • [1]
    SAVARESE G, BECHER P M, LUND L H, et al. Global burden of heart failure: a comprehensive and updated review of epidemiology[J]. Cardiovasc Res, 2023, 118(17): 3272-3287. doi: 10.1093/cvr/cvac013
    [2]
    中国康复医学会心血管病预防与康复专业委员会. 慢性心力衰竭心脏康复中国专家共识[J]. 中华内科杂志, 2020, 59(12): 942-952.

    Professional Committee of Cardiovascular Disease Prevention and Rehabilitation, Chinese Association of Rehabilitation Medicine. Expert consensus on cardiac rehabilitation for chronic heart failure in China[J]. Chinese Journal of Internal Medicine, 2020, 59(12): 942-952.
    [3]
    CHEN M F, KE S R, LIU C L, et al. Associated factors and impacts of sedentary behaviour in patients with heart failure: a longitudinal study[J]. Eur J Cardiovasc Nurs, 2020, 19(7): 609-618. doi: 10.1177/1474515120912381
    [4]
    YOU Y, CHEN Y, FANG W, et al. The association between sedentary behavior, exercise, and sleep disturbance: a mediation analysis of inflammatory biomarkers[J]. Front Immunol, 2023, 13: 1080782. DOI: 10.3389/fimmu.2022.1080782.
    [5]
    ZHAO Q, CHEN C, ZHANG J, et al. Sedentary behavior and health outcomes in patients with heart failure: a systematic review and meta-analysis[J]. Heart Fail Rev, 2022, 27(4): 1017-1028. doi: 10.1007/s10741-021-10132-7
    [6]
    周丹丹, 钮美娥, 韩燕霞, 等. 稳定期慢性阻塞性肺疾病患者久坐行为现状及影响因素分析[J]. 护理学杂志, 2022, 37(18): 29-32, 36.

    ZHOU D D, NIU M E, HAN Y X, et al. Sedentary behavior among stable COPD patients and its influencing factors[J]. Journal of Nursing Science, 2022, 37(18): 29-32, 36.
    [7]
    付忠荣, 张振香, 林蓓蕾, 等. 社区脑卒中患者久坐行为现状及影响因素研究[J]. 中国全科医学, 2022, 25(7): 846-850.

    FU Z R, ZHANG Z X, LIN B L, et al. Prevalence and influencing factors of sedentary behavior in community stroke patients[J]. Chinese General Practice, 2022, 25(7): 846-850.
    [8]
    曾梦婷, 何虹, 查荣苹, 等. 结直肠癌患者化疗间歇期静态行为现状及影响因素分析[J]. 护理学杂志, 2023, 38(15): 44-47.

    ZENG M T, HE H, ZHA R P, et al. Current status of sedentary behavior of patients with colorectal cancer during the intermittent period of chemotherapy: the influencing factors[J]. Journal of Nursing Science, 2023, 38(15): 44-47.
    [9]
    MCDONAGH T A, METRA M, ADAMO M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure[J]. Eur Heart J, 2021, 42(36): 3599-3726. doi: 10.1093/eurheartj/ehab368
    [10]
    朱纯静, 陈鸟鸟, 汪少艳, 等. 结直肠癌患者久坐行为现状及影响因素研究[J]. 中华全科医学, 2023, 21(9): 1478-1481. doi: 10.16766/j.cnki.issn.1674-4152.003150

    ZHU C J, CHEN N N, WANG S Y, et al. Sedentary bahavior and its influencing factors among patients with colorectal cancer[J]. Chinese Journal of General Practice, 2023, 21(9): 1478-1481. doi: 10.16766/j.cnki.issn.1674-4152.003150
    [11]
    CHEN L Y, FANG T J, LIN Y C, et al. Exploring the mediating effects of cognitive function, social support, activities of daily living and depression in the relationship between age and frailty among community-dwelling elderly[J]. Int J Environ Res Public Health, 2021, 18(23): 12543. DOI: 10.3390/ijerph182312543.
    [12]
    孙玉肖, 赵春艳, 朱艳, 等. 心脏康复锻炼自我效能量表的汉化及信效度检验[J]. 中华现代护理杂志, 2021, 27(32): 4441-4446.

    SUN Y X, ZHAO C Y, ZHU Y, et al. The chinesization and reliability and validity test of the cardiac exercise self-efficacy instrument[J]. Chinese Journal of Modern Nursing, 2021, 27(32): 4441-4446.
    [13]
    董超群, 徐琼英. 护理本科生肠易激综合征消化道症状网络及与焦虑抑郁的关系[J]. 护理学杂志, 2024, 39(1): 21-25.

    DONG C Q, XU Q Y. Gastrointestinal symptoms of undergraduate nusing students with irritable bowel syndrome and the relationship with anxiety and depression: network analysis[J]. Journal of Nursing Science, 2024, 39(1): 21-25.
    [14]
    付佑兴, 成霞, 刘嘉洋, 等. 城市老年人社区居家医养结合养老服务需求现状及影响因素分析[J]. 中华全科医学, 2023, 21(11): 1903-1906, 1923. doi: 10.16766/j.cnki.issn.1674-4152.003254

    FU Y X, CHENG X, LIU J Y, et al. Analysis of the current situation of demand for community home medical care with pension services and its influencing factors for the urban elderly[J]. Chinese Journal of General Practice, 2023, 21(11): 1903-1906, 1923. doi: 10.16766/j.cnki.issn.1674-4152.003254
    [15]
    BULL F C, AL-ANSARI S S, BIDDLE S, et al. World health organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462.
    [16]
    谢传桃, 顾艳荭, 唐红梅, 等. 脑卒中高危人群体力活动现状及影响因素研究[J]. 护理学杂志, 2021, 36(7): 59-62, 71.

    XIE C T, GU Y H, TANG H M, et al. Status and influencing factors of physical activity among populations at high risk for stroke[J]. Journal of Nursing Science, 2021, 36(7): 59-62, 71.
    [17]
    中国心衰中心联盟, 苏州工业园区心血管健康研究院, 中国心血管健康联盟, 等. 中国心衰中心工作报告(2021): 心力衰竭患者的诊疗现况[J]. 中国介入心脏病学杂志, 2022, 30(5): 328-336.

    China Heart Failure Center Alliance, Suzhou Industrial Park Cardiovascular Health Research Institute, China Cardiovascular Health Alliance, et al. Work Report of China Heart Failure Center (2021): current status of diagnosis and treatment of patients with heart failure[J]. Chinese Journal of Interventional Cardiology, 2022, 30(5): 328-336.
    [18]
    COSTA R V C. NYHA Classification and cardiopulmonary exercise test variables in patients with heart failure[J]. Arq Bras Cardiol, 2022, 118(6): 1124-1125.
    [19]
    SZCZUKA Z, BANIK A, ABRAHAM C, et al. Associations between self-efficacy and sedentary behaviour: a meta-analysis[J]. Psychol Health, 2021, 36(3): 271-289.
    [20]
    王颖, 范佳薇, 施小青, 等. 急性心肌梗死患者运动恐惧水平及其影响因素的纵向研究[J]. 护理学杂志, 2022, 37(14): 27-31.

    WANG Y, FAN J W, SHI X Q, et al. Longitudinal study on kinesiophobia in patients with acute myocardial infarction: the influencing factors[J]. Journal of Nursing Science, 2022, 37(14): 27-31.
    [21]
    TSABEDZE N, KINSEY J H, MPANYA D, et al. The prevalence of depression, stress and anxiety symptoms in patients with chronic heart failure[J]. Int J Ment Health Syst, 2021, 15(1): 44.
    [22]
    HUANG Y, LI L, GAN Y, et al. Sedentary behaviors and risk of depression: a meta-analysis of prospective studies[J]. Transl Psychiatry, 2020, 10(1): 26.
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