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 patients

作　　者：高雨彤 朱丽丽[1] 张俊梅[2] 孙月 Gao Yutong;Zhu Lili;Zhang Junmei;Sun Yue(School of Nursing,Xinxiang Medical College,Xinxiang 453000,China)

机构地区：[1]新乡医学院护理学院,河南新乡453000 [2]河南省人民医院

出　　处：《护理学杂志》2024年第5期92-95,111,共5页Journal of Nursing Science

基　　金：2023年度河南省医学科技攻关计划项目(LHGJ20230039);2024年度河南省高等学校重点科研项目(24A320015)。

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。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 patients.A questionnaire survey was conduct by using the General Information Survey Scale,Exercise Intention Scale,Exercise Program Scale,Exercise Self-Efficacy Scale,and International Physical Activity Questionnaire-Short Form.Results The exercise intention 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±7.51).The total metabolic equivalent of exercise behavior was 1108(596,1470)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(β=0.124,P<0.05).Conclusion The exercise behavior of stroke patients needs to be improved.Exercise intention 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 

分 类 号：R473.5[医药卫生—护理学]