心力衰竭患者家庭运动行为的自我效能干预

摘要

Objective To explore the effect of intervention by using exercise self-efficacy theory on home exercise behavior in patients with heart failure.Methods Forty heart failure patients hospitalized from May through July,2016 were included as the control group,who received health education alone,and 38 patients from August to October,2016 were treated as the intervention group,who additionally received self-efficacy enhancing intervention.All patients were assessed using Self-efficacy for Exercises (SEE) at baseline and 4 months after discharge,and all the patients were told to record the exercise logs (including the form,frequency,du ration and intensity of at-home exercises).In total,71 cases (37 cases in the control group and 34 cases in the experimental group) completed the trial and the data were analyzed.Results The scores of SEE and the frequency,duration and intensity of exercises increased more significantly in the intervention group than in the control group after intervention (P＜0.05,P＜0.01).Conclusion Self-efficacy enhancing intervention can effectively improve SEE and at-home exercises levels in heart failure patients.%目的 探讨运动自我效能干预对心力衰竭患者家庭运动行为的影响.方法 将2016年5～7月住院符合纳入标准的40例患者作为对照组,8～10月38例患者作为干预组.对照组进行常规健康教育,干预组针对患者运动自我效能进行干预.分别评估患者入组时和出院后4个月的运动自我效能,并嘱患者出院后记录运动日志(包括运动形式、频率、时间和强度等).对完成随访且资料完整的71例患者(对照组37例,干预组34例)的数据进行分析.结果 干预后,干预组运动自我效能得分和运动频率、时间及强度显著优于对照组(P＜0.05,P＜0.01).结论 运动自我效能干预能有效提高心力衰竭患者的运动自我效能水平,改善家庭运动行为.