Effects of graded exposure therapy on fear of exercise and resilience in patients with coronary heart disease / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effects of graded exposure in vivo treatment on kinesiophobia and resilience in patients with coronary heart disease, to provide reference for clinical nursing care.Methods:A total of 86 coronary heart disease patients from January 2018 to October 2019 in the First People′s Hospital of Jingzhou were randomly divided into experimental group and control group with 43 cases in each group according to the random number table method. The control group received routine nursing, while the experimental group implemented graded exposure in vivo treatment addition to routine nursing. The results of intervention were assessed by the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) and Connor-Davidson Resilience Scale (CD-RISC), respectively.Results:After intervention, the scores of perceived danger, fear of injury, avoidance of exercise, dysfunctional self dimension and total socres in TSK-SV Heart were (5.45 ± 1.13), (6.55 ± 1.62), (6.92 ± 1.32), (6.42 ± 1.14), (25.34 ± 3.91) points in the experimental group, significantly lower than those in the control group (7.20 ± 1.91), (7.80 ± 2.30), (8.15 ± 1.85), (7.98 ± 1.44), (31.13 ± 4.47) points, the differences were statistically significant ( t values were 2.60-6.07, all P<0.05). The scores of tenacity, strength, optimism dimension and total scores in CD-RISC were (19.58 ± 5.29), (19.68 ± 5.16), (12.76 ± 4.81), (52.03 ± 8.64) points in the experimental group, significantly higher than those in the control group (17.43 ± 3.95), (16.80 ± 3.61), (10.28 ± 3.98), (44.50 ± 6.24) points, the differences were statistically significant ( t values were 2.03-4.39, all P<0.05). Conclusions:Graded exposure in vivo treatment can effectively alleviate kinesiophobia and promote resilience of patients with coronary heart disease.