Department of Adult Health Nursing, Ajou University College of Nursing, Suwon, South Korea.
J Cardiovasc Nurs. 2010 Jul-Aug;25(4):323-31. doi: 10.1097/JCN.0b013e3181c8a3e8.
Although regular exercise has been recommended to reduce the risk of cardiovascular disease (CVD) among people with metabolic syndrome, little information is available about psychobehavioral strategies in this population.
The purpose of this study was to identify the stages, processes of change, decisional balance, and self-efficacy of exercise behavior and to determine the significant predictors explaining regular exercise behavior in adults with metabolic syndrome.
This descriptive, cross-sectional survey design enrolled a convenience sample of 210 people with metabolic syndrome at a university hospital in South Korea. Descriptive statistics were used to analyze demographic characteristics, metabolic syndrome risk factors, and transtheoretical model-related variables. A multivariate logistic regression analysis was used to determine the most important predictors of regular exercise stages.
Action and maintenance stages comprised 51.9% of regular exercise stages, whereas 48.1% of non-regular exercise stages were precontemplation, contemplation, and preparation stages. Adults with regular exercise stages displayed increased high-density lipoprotein cholesterol level, were more likely to use consciousness raising, self-reevaluation, and self-liberation strategies, and were less likely to evaluate the merits/disadvantages of exercise, compared with those in non-regular exercise stages.
In this study of regular exercise behavior and transtheoretical model-related variables, consciousness raising, self-reevaluation, and self-liberation were associated with a positive effect on regular exercise behavior in adults with metabolic syndrome. Our findings could be used to develop strategies and interventions to maintain regular exercise behavior directed at Korean adults with metabolic syndrome to reduce CVD risk. Further prospective intervention studies are needed to investigate the effect of regular exercise program on the prevention and/or reduction of CVD risk among this population. Health care providers, especially nurses, are optimally positioned to help their clients initiate and maintain regular exercise behavior in clinical and community settings.
尽管有规律的运动已被推荐用于降低代谢综合征患者患心血管疾病（CVD）的风险，但针对该人群的心理行为策略的信息却很少。
本研究旨在确定运动行为的阶段、变化过程、决策平衡和自我效能，并确定解释代谢综合征成年人有规律运动行为的重要预测因素。
本研究采用描述性、横断面调查设计，在韩国的一家大学医院便利招募了 210 名代谢综合征患者。采用描述性统计分析方法对人口统计学特征、代谢综合征危险因素和跨理论模型相关变量进行分析。采用多元逻辑回归分析确定定期运动阶段的最重要预测因素。
行动和维持阶段构成了定期运动阶段的 51.9%，而非定期运动阶段的 48.1%则处于前沉思、沉思和准备阶段。与非定期运动阶段相比，有规律运动阶段的成年人高密度脂蛋白胆固醇水平升高，更有可能使用提高认识、自我重新评估和自我解放策略，而不太可能评估运动的优缺点。
在这项关于定期运动行为和跨理论模型相关变量的研究中，提高认识、自我重新评估和自我解放与代谢综合征成年人积极的定期运动行为有关。我们的研究结果可用于制定策略和干预措施，以维持代谢综合征的韩国成年人的定期运动行为，降低 CVD 风险。需要进一步的前瞻性干预研究来调查定期运动计划对该人群 CVD 风险的预防和/或降低的影响。医疗保健提供者，尤其是护士，在临床和社区环境中最有能力帮助他们的客户开始并维持定期运动行为。
