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

作　　者：张华建 万蕾 罗先武[2] 章剑剑 沈艳萍 汪洋[1] 罗云辉 纪博武 ZHANG Hua-jian;WAN Lei;LUOXian-wu;ZHANG Jian-jian;SHEN Yan-ping;WANG Yang;LUO Yun-hui;JI Bo-wu(Department of Neurosurgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;School of Nursing,Wuhan University,Wuhan 430000,China)

机构地区：[1]武汉大学中南医院神经外科,武汉430071 [2]武汉大学护理学院,武汉430000

出　　处：《中国临床神经外科杂志》2024年第6期327-331,共5页Chinese Journal of Clinical Neurosurgery

基　　金：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)。

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PCO_(2)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PCO_(2)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。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 PCO_(2) 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 PCO_(2) 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 

分 类 号：R743[医药卫生—神经病学与精神病学] R473.6[医药卫生—临床医学]