Cognitive and behavioral aspects of “fragmented exercise patterns” in patients with arrhythmia
心律失常患者“碎片化运动模式”的认知与行为调查研究

摘要

目的 探讨心律失常患者对碎片化运动的认知、行为现状及潜在需求，为构建其专属碎片化运动康复体系提供实证依据。方法 采用横断面问卷调查法，选取221例心律失常患者，通过自制问卷从基础病情、认知、行为、顾虑及需求5个维度调查。结果 患者以41-60岁为主（42.99%），房颤/房性早搏占比最高（48.42%）；仅9.5%非常了解碎片化运动，70.59%认同其适合本病种；76.92%尝试过碎片化运动（以慢走为主，84.16%），53.85%无固定规划；主要障碍为自身惰性（60.18%）与专业指导缺失（51.13%）；86.42%希望获取专属运动指南，79.64%偏好医护指导。结论 患者碎片化运动认知不足、实施不规范，但接受度与需求度高，亟需构建个体化、规范化干预方案。

Abstract

Objective To investigate the cognitive level, implementation status and potential needs of fragmented exercise in patients with arrhythmia, providing empirical evidence for establishing a specialized rehabilitation system.
Methods A cross-sectional questionnaire survey was conducted among 221 patients with arrhythmia, covering 5 dimensions including basic condition, cognition, behavior, concerns and needs.
Results Most patients were 41-60 years old (42.99%), with atrial fibrillation/atrial premature beats accounting for the highest proportion (48.42%); only 9.5%had a thorough understanding of fragmented exercise, while 70.59%recognized its suitability; 76.92%had attempted it (mainly slow walking,84.16%), and 53.85%had no fixed plan. The main barriers were personal inertia (60.18%) and lack of professional guidance (51.13%); 86.42%desired personalized exercise guidelines, and 79.64% preferred guidance from healthcare professionals.
Conclusion   Patients have insufficient cognition and non-standard implementation of fragmented exercise, but high acceptance and demand, so individualized and standardized intervention protocols are urgently needed.