运动自我效能在冠心病患者运动恐惧和体育活动量间的中介作用  

Mediating effect of exercise self-efficacy between kinesiophobia and amount of physical activity in patients with coronary heart disease

作　　者：黄蓉 丁梅[2] 黄华华 张华伟 HUANG Rong;DING Mei;HUANG Huahua;ZHANG Huawei

机构地区：[1]吉安职业技术学院医护学院,江西省吉安市343006 [2]赣南医学院护理学院,江西省赣州市341000 [3]粤北人民医院全科医学科,广东省韶关市512000 [4]井冈山大学附属医院,江西省吉安市343000

出　　处：《中华护理教育》2022年第12期1119-1123,共5页Chinese Journal of Nursing Education

摘　　要：目的了解冠心病患者体育活动量、运动恐惧和运动自我效能的现状,探讨运动自我效能在运动恐惧和体育活动量间的中介作用。方法采用便利抽样法,选取2020年12月—2021年3月江西省赣州市某三级甲等医院心内科门诊复查的276例冠心病患者为研究对象,使用一般资料调查表、体育活动等级量表、心脏疾病患者运动恐惧量表和运动自我效能量表对其进行调查。结果冠心病患者体育活动总分为(17.58±14.09)分,运动恐惧总分为(36.32±5.04)分,运动自我效能总分为(54.10±26.03)分。运动自我效能在运动恐惧与体育活动量间起部分中介效应(β=-0.263,P<0.01),效应占比为49.94%。结论冠心病患者的体育活动量处于低水平,运动恐惧和运动自我效能处于中等水平。运动恐惧可直接影响冠心病患者体育活动量,也可以通过运动自我效能间接影响体育活动量。Objective To investigate the current status of amount of physical activity,kinesiophobia and exercise self-efficacy in patients with coronary heart disease,and to analyze the mediating role of exercise self-efficacy between kinesiophobia and amount of physical activity.Methods Convenience sampling was conducted with a total of 276 outpatient review patients with coronary heart disease admitted to the department of cardiology in a GradeⅢlevel A hospital in Ganzhou city,Jiangxi Province from December 2020 to March 2021.General data questionnaire,Physical Activity Rank Scale,Tampa Scale for Kinesiophobia Heart,Exercise Self-efficacy Scale were employed.Results The total score of physical activity,kinesiophobia and exercise self-efficacy in patients with coronary heart disease was(17.58±14.09),(36.32±5.04),and(54.10±26.03),respectively.Exercise self-efficacy played a part of mediating effect between kinesiophobia and physical activity(β=-0.263,P<0.01),and effect ratio was 49.94%.Conclusion Patients with coronary heart disease hold a low level of physical activity.Kinetophobia can directly affect the physical activity of patients with coronary heart disease,and can indirectly affect the physical activity through exercise self-efficacy.

关 键 词：冠心病 体育活动 自我效验 问卷调查 运动恐惧 

分 类 号：R473.5[医药卫生—护理学]