中国临床神经外科杂志2024,Vol.29Issue(6) :327-331.DOI:10.13798/j.issn.1009-153X.2024.06.002

基于自我效能理论的有氧运动处方在脑底异常血管网症中的应用

Application of aerobic exercise prescription based on self-efficacy theory in patients with moyamoya disease

张华建 万蕾 罗先武 章剑剑 沈艳萍 汪洋 罗云辉 纪博武
中国临床神经外科杂志2024,Vol.29Issue(6) :327-331.DOI:10.13798/j.issn.1009-153X.2024.06.002

基于自我效能理论的有氧运动处方在脑底异常血管网症中的应用

Application of aerobic exercise prescription based on self-efficacy theory in patients with moyamoya disease

张华建 1万蕾 2罗先武 2章剑剑 1沈艳萍 1汪洋 1罗云辉 1纪博武1
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作者信息

  • 1. 430071 武汉,武汉大学中南医院神经外科
  • 2. 430071 武汉,武汉大学中南医院神经外科;430000 武汉,武汉大学护理学院
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摘要

目的 探讨基于自我效能理论的有氧运动处方在脑底异常血管网症(烟雾病,MMD)病人中的应用效果.方法 选取2022年1月至2023年4月收治的130例MMD为研究对象,其中100例符合纳入标准,按干预方法分为观察组(n=50)和对照组(n=50).对照组采用常规术前护理,观察组在对照组基础上采用基于自我效能理论的有氧运动处方.干预2周,评估两组动脉血气分析PCO2值、健康行为自我效能感量表(GSES)评分、术后并发症发生率[脑高灌注综合征(CHS)、脑梗死、脑出血].结果 与对照组相比,观察组PCO2值明显上升(P<0.05)、GSES总分明显增高(P<0.05)、术后CHS和脑梗死发生率显降低(P<0.05.结论 基于自我效能理论的有氧运动处方可增加MMD病人的自我效能感,提高脑缺血耐受性,减少术后并发症.

Abstract

Objective To explore the efficacy of aerobic exercise prescriptions based on the self-efficacy theory for patients with moyamoya disease(MMD).Methods A total of 130 MMD patients admitted from January 2022 to April 2023 were selected as the research subjects.Among them,100 cases met the inclusion criteria and were divided into the observation group(n=50)and the control group(n=50)based on the intervention approaches.The control group received conventional preoperative care,while the observation group was administered the aerobic exercise prescription founded on the self-efficacy theory on the foundation of the control group.After a 2-week intervention,the PCO2 value of arterial blood gas analysis,the score of the General Self-Efficacy Scale(GSES),and the incidence rates of postoperative complications[cerebral hyperperfusion syndrome(CHS),cerebral infarction,and cerebral hemorrhage]were evaluated in both groups.Results In contrast to the control group,the PCO2 value and total score of GSES increased significantly,and the incidence rates of postoperative CHS and cerebral infarction decreased significantly in the observation group(P<0.05).Conclusions The aerobic exercise prescription based on the self-efficacy theory can augment the self-efficacy of MMD patients,enhance cerebral ischemic tolerance,and reduce postoperative complications.

关键词

脑底异常血管网症/烟雾病/自我效能理论/有氧运动处方

Key words

Moyamoya disease/Self-efficacy theory/Aerobic exercise prescription

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基金项目

国家自然科学基金(82171326)

武汉大学中南医院临床护理研究项目(LCHLYJ202215)

武汉大学中南医院科技成果转化基金项目(2022CGZH-MS009)

武汉大学临床护理专项科研培育基金(LCHL202329)

出版年

2024
中国临床神经外科杂志
广州军区武汉总医院

中国临床神经外科杂志

CSTPCD
影响因子:0.781
ISSN:1009-153X
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