基于跨理论模型研究居民中医运动养生参与行为  

Research on Residents'Participation Behavior of Traditional Chinese Medicine Exercise Regimen Based on the Transtheoretical Model

作　　者：王山 谭巍[1] WANG Shan;TAN Wei(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学管理学院,北京100029

出　　处：《中医药导报》2022年第7期203-208,共6页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局监测统计中心资助项目(BUCM2021KJGL0020)。

摘　　要：目的:基于跨理论模型研究我国居民的中医运动养生参与行为,并根据研究结果给予相关建议。方法:翻译英文版跨理论模型锻炼行为问卷后进行本土化修订;采用方便抽样的方法于2021年8—9月通过“问卷星”收集问卷269份,最终获得有效问卷162份,有效率60.22%(162/269);对收集到的问卷进行统计分析。结果:本土化修订后的问卷信效度良好;变化过程方面,前意向阶段与意向阶段人群比较,所有变化过程影响因素得分差异有统计学意义(P<0.05),行动阶段与保持阶段人群差别主要体现在反条件作用、自我解放、意识觉醒、强化管理、自我再评价、帮助关系、环境再评价方面,差异均有统计学意义(P<0.05);自我效能和决策平衡(收益-成本)均与变化阶段的提高呈正相关关系,差异有统计学意义(P<0.05)。结论:跨理论模型锻炼行为问卷本土化修订后适用于我国居民中医运动养生参与行为研究。相邻两阶段的变化过程对比显示,前意向阶段与意向阶段差异明显,行动阶段与保持阶段差异明显,其他相邻两阶段差异不明显;应重视前意向阶段和行动阶段人群的认知、行为过程的干预。自我效能、决策平衡(收益-成本)与变化阶段的提高呈正相关关系,两者对变化阶段的提高有重要影响。Objective:To study Chinese residents'participation behavior of traditional Chinese medicine(TCM)exercise regimen based on the transtheoretical model,and provide relevant opinions and suggestions according to the research results.Methods:The English version of The Transtheoretical Model of Change on exercise behavior questionnaire was translated and revised locally.From August to September,2021,269 questionnaires were collected by"Wenjuanxing",and 162 valid questionnaires were obtained,with an effective rate of 60.22%(162/269).The collected questionnaires were statistically analyzed.Results:The localization questionnaire of physical active research based on The Transtheoretical Model of Change has good reliability and validity.In the aspect of change process,the scores of all influencing factors in the change process from the pre-intention stage to the intention stage are statistically significant(P<0.05),and the differences from the action stage to the maintenance stage are mainly reflected in the aspects of counter conditioning,self-liberation,consciousness raising,reinforcement management,self-reevaluation,helping relationship and environmental re-evaluation,which are statistically significant(P<0.05).Self efficacy and decision-making balance(benefit-cost)are positively correlated with the improvement of change stage,and the difference is statistically significant(P<0.05).Conclusion:The questionnaire of physical active research based on The Transtheoretical Model of Change is suitable for the study of Chinese residents'participation behavior of TCM exercise regimen.The comparison of the change process between the two adjacent stages shows that the difference between the pre-intention stage and the intention stage is obvious,the difference between the action stage and the maintenance stage is obvious,and the difference between the other two adjacent stages is not obvious.Therefore,additional attention should be paid to the intervention of the cognitive and behavioral process of the people in the pre-intention st

关 键 词：中医运动养生 跨理论模型 锻炼行为 

分 类 号：R212[医药卫生—中医学]