Smith Deborah Walton, Griffin Quinn, Fitzpatrick Joyce
Department of Nursing, Gonzaga University, Spokane, Washington, USA.
J Am Acad Nurse Pract. 2011 Feb;23(2):92-100. doi: 10.1111/j.1745-7599.2010.00582.x. Epub 2011 Jan 11.
To determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking advanced practice nurse (APN) care.
A convenience sample of 175 persons aged 40 or above with the values of body mass index (BMI) exceeding 25.
One fourth of the respondents were considering beginning exercise within the next month; 23% had exercised regularly for more than 6 months and 39% indicated that they exercised regularly. Most respondents believed the pros of exercise outweighed the cons, and as the pros increased, so did the likelihood of exercising.
In approaching the subject of exercise among obese and overweight individuals it is important for the APN to understand behavioral change. Thus, it would be more fruitful to ask, "What would it take to move those who intend to begin exercising to the next stage?" For health behavior change to occur, the pros must be twice as numerous as the cons. In clinical practice, reviewing and adding to the pros of exercise as outlined by the patient might tip the decisional balance in favor of exercise.
确定寻求高级执业护士（APN）护理的超重和肥胖个体的运动阶段与决策平衡之间的关系。
对175名年龄在40岁及以上、体重指数（BMI）超过25的人员进行便利抽样。
四分之一的受访者考虑在接下来的一个月内开始运动；23%的人已经定期锻炼超过6个月，39%的人表示他们有规律地锻炼。大多数受访者认为运动的好处大于坏处，并且随着好处的增加，锻炼的可能性也增加。
在与肥胖和超重个体探讨运动话题时，APN了解行为改变很重要。因此，询问“需要做些什么才能让那些打算开始锻炼的人进入下一阶段？”会更有成效。为了实现健康行为改变，好处必须是坏处的两倍。在临床实践中，回顾并补充患者列出的运动好处可能会使决策平衡倾向于运动。
