锻炼意向对脑卒中患者锻炼行为影响的有调节的中介效应
Moderated mediating effects of exercise intention on exercise behavior in stroke pa-tients
高雨彤 1朱丽丽 1张俊梅 2孙月1
作者信息
- 1. 新乡医学院护理学院(河南新乡,453000)
- 2. 河南省人民医院
- 折叠
摘要
目的 探讨脑卒中患者锻炼意向对锻炼行为的作用机制,为促进患者的锻炼行为提供参考.方法 采用便利抽样法,以一般资料调查量表、锻炼意向量表、锻炼计划量表、锻炼自我效能量表、国际体力活动问卷-短卷对299例脑卒中患者进行问卷调查.结果 脑卒中患者的锻炼意向得分为(14.41±3.48)分,锻炼自我效能(41.68±10.95)分,锻炼计划(30.85±7.51)分,锻炼行为总代谢当量为1 108(596,1 470)MET-min/周.锻炼意向对锻炼行为有正向影响,锻炼计划在锻炼意向与锻炼行为之间起中介作用,中介效应占总效应的31.19％,锻炼自我效能调节了锻炼意向对锻炼计划的作用路径(β=0.124,P＜0.05).结论 脑卒中患者的锻炼行为有待提高,锻炼意向不仅能直接预测锻炼行为,还能通过锻炼计划间接影响锻炼行为,锻炼自我效能在这一过程中起调节作用.可通过积极心理干预,激发脑卒中患者的锻炼意愿,提高锻炼自我效能,帮助患者制定完善的个性化锻炼计划,促进锻炼行为的产生和维持.
Abstract
Objective To explore the effect mechanism of exercise intention on exercise behavior in stroke patients,so as to provide a reference for promoting patients'exercise behavior.Methods The convenience sampling method was used to select 299 stroke pa-tients.A questionnaire survey was conduct by using the General Information Survey Scale,Exercise Intention Scale,Exercise Pro-gram Scale,Exercise Self-Efficacy Scale,and International Physical Activity Questionnaire-Short Form.Results The exercise inten-tion score of stroke patients was(14.41±3.48).The exercise self-efficacy score was(41.68±10.95).The exercise plan score was(30.85士7.51).The total metabolic equivalent of exercise behavior was 1 108(596,1 470)MET-min/week.Exercise intention had a positive effect on exercise behavior.Exercise planning mediated the relationship between exercise intention and exercise behavior,with the mediating effect accounting for 31.19％of the total effect,and exercise self-efficacy moderated the first half of the path of this mediating effect(p=0.124,P＜0.05).Conclusion The exercise behavior of stroke patients needs to be improved.Exercise in-tention can not only directly predict exercise behavior,but also indirectly influence exercise behavior through exercise planning.Exercise self-efficacy plays a regulatory role in this process.Positive psychological interventions can stimulate the exercise intention of stroke patients,improve exercise self-efficacy,and help patients formulate a perfect personalized exercise plan to promote the generation and maintenance of exercise behavior.
关键词
脑卒中/体力活动/锻炼意向/锻炼计划/锻炼自我效能/锻炼行为/中介效应/调节效应Key words
stroke/physical activity/exercise intention/exercise program/exercise self-efficacy/exercise behavior/me-diating effects/moderating effects引用本文复制引用
基金项目
河南省医学科技攻关计划(2023)(LHGJ20230039)
河南省高等学校重点科研项目(2024)(24A320015)
出版年
2024
NETL
NSTL
万方数据