University of Maryland Baltimore School of Nursing, Baltimore, MD, USA.
J Neurosci Nurs. 2012 Feb;44(1):27-35. doi: 10.1097/JNN.0b013e31823ae4b5.
Stroke survivors are at high risk for cardiovascular mortality which can be in part mitigated by increasing physical activity. Self-efficacy for exercise is known to play a role in adoption of exercise behaviors. This study examines self-reported psychological outcomes in a group of 64 stroke survivors randomized to either a 6-month treadmill training program or a stretching program. Results indicated that, regardless of group, all study participants experienced increased self-efficacy (F = 2.95, p = .09) and outcome expectations for exercise (F = 13.23, p < 0.001) and improvements in activities of daily living as reported on the Stroke Impact Scale (F = 10.97, p = .002). No statistically significant between-group differences were noted, possibly because of the fact that specific interventions designed to enhance efficacy beliefs were not part of the study. Theoretically based interventions should be tested to clarify the role of motivation and potential influence on exercise and physical activity in the stroke survivor population.
中风幸存者心血管死亡率较高，增加身体活动可以部分降低这种风险。运动自我效能感被认为在采用运动行为方面发挥作用。本研究在 64 名随机分配到 6 个月跑步机训练计划或伸展计划的中风幸存者组中检查了自我报告的心理结果。结果表明，无论组如何，所有研究参与者的运动自我效能感（F = 2.95，p =.09）和对运动的结果期望（F = 13.23，p < 0.001）以及中风影响量表（F = 10.97，p =.002）报告的日常生活活动都有所提高。未观察到组间统计学差异，这可能是因为研究中没有包含旨在增强效能信念的特定干预措施。应测试基于理论的干预措施，以澄清动机在中风幸存者人群中的作用及其对运动和身体活动的潜在影响。
