心力衰竭患者的心理反应与运动依从性
Psychological responses and adherence to exercise in heart failure.
作者信息
Duncan Kathleen, Pozehl Bunny, Hertzog Melody, Norman Joseph F
机构信息
College of Nursing-Lincoln Division, University of Nebraska Medical Center, Lincoln, Nebraska, USA.
出版信息
Rehabil Nurs. 2014 May-Jun;39(3):130-9. doi: 10.1002/rnj.106. Epub 2013 May 29.
PURPOSE
The purpose of this study was to describe psychological effects and exercise adherence during a multicomponent exercise training intervention.
METHODS
A sample of 42 patients with heart failure were randomized into an exercise (INV) group (n = 22) and an attention control (AC) group (n = 20). The exercise protocol included two 12-week phases, a structured phase and a self-managed phase. The psychological responses assessed were mood states and exercise self-efficacy. To meet the second purpose of the study, the exercise group was dichotomized based on the number of sessions completed to create two adherence subgroups.
FINDINGS
Results indicate self-efficacy improved for the INV group and was maintained during the self-management phase. The adherence subgroups demonstrated different patterns for weekly exercise. Depression and confusion scores improved for the high-adherence group in contrast to worsening for the low-adherence group.
CONCLUSIONS
Results suggest a need for further study of the psychological responses of exercise adherence for patients with heart failure.
CLINICAL RELEVANCE
The study indicates the importance of continuous assessment of exercise participation and longer term adherence support for patients with heart failure.
目的
本研究旨在描述多组分运动训练干预期间的心理效应和运动依从性。
方法
42例心力衰竭患者样本被随机分为运动（INV）组（n = 22）和注意力控制（AC）组（n = 20）。运动方案包括两个12周阶段，一个结构化阶段和一个自我管理阶段。评估的心理反应为情绪状态和运动自我效能感。为满足研究的第二个目的，根据完成的疗程数量将运动组进行二分法划分，以创建两个依从性子组。
结果
结果表明，INV组的自我效能感有所提高，并在自我管理阶段得以维持。依从性子组在每周运动方面表现出不同模式。与低依从性组恶化相反，高依从性组的抑郁和困惑得分有所改善。
结论
结果表明需要进一步研究心力衰竭患者运动依从性的心理反应。
临床意义
该研究表明持续评估心力衰竭患者运动参与情况和提供长期依从性支持的重要性。
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