Analysis of the status quo and influencing factors of cardiac rehabilitation disorders in patients with unstable angina pectoris

DENG Wenjuan; LI Feng; GUO Jing

doi:10.3969/j.issn.1674-3245.2025.06.012

Abstract：Objective To investigate the level of cardiac rehabilitation(CR)disorder in patients with unstable angina(UA)and analyze its influencing factors.Methods A total of 210 patients with UA who were treated in Jieshou People's Hospital from January 2021 to March 2024 were retrospectively selected as the study subjects.The Chinese version of the cardiac rehabilitation disorder scale(CRBS-C/M)revised by Duan Juan et al.,was used to evaluate the level of CR disorder in patients.Univariate analysis and multiple linear regression analysis were used to analyze the related factors affecting the level of CR disorder in UA patients.Results The total average score of CRBS-C/M in 210 UA patients was(3.12±0.42)points,among which the average score of logistics factor dimension was the highest(3.46±0.43)points,and the other three dimensions were:perceived need dimension(3.05±0.46)points,work/time conflict dimension(3.08±0.45)points,complications/functional status dimension(3.15±0.35)points.Multivariate linear regression analysis revealed that age(β=0.170,P<0.05),education level(β=-0.117,P<0.05),social support level(β=-0.602,P<0.05),angina attack frequency(β=-0.101,P<0.05),dyspnea(β=-0.141,P<0.05),exercise habit(β=0.156,P<0.05),and GRACE score(β=-0.168,P<0.05)were associated factors influencing the level of cardiac rehabilitation(CR)barriers in UA patients,explaining 60.8%of the total variance.Conclusions The level of CR disorder in UA patients is high,and logistic factors are the main influencing factors.Age>60 years old,low education level,low level of social support,angina attack frequency≥3 times/month,higher degree of dyspnea,absence of exercise habits,and high GRACE score are influencing factors for high CR barrier levels in UA patients.