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慢性病约旦患者的运动自我效能感、益处与障碍以及对运动计划的坚持情况

Perceived Exercise Self-Efficacy, Benefits and Barriers, and Commitment to a Plan for Exercise among Jordanians with Chronic Illnesses.

作者信息

Darawad Muhammad W, Khalil Amani A, Hamdan-Mansour Ayman M, Nofal Basema M

机构信息

Faculty of Nursing, The University of Jordan, Amman, Jordan.

Al-Farabi College of Dentistry and Nursing, Al-Farabi College, Riyadh, Saudi Arabia.

出版信息

Rehabil Nurs. 2016 Nov;41(6):342-351. doi: 10.1002/rnj.199. Epub 2014 Dec 31.

DOI:10.1002/rnj.199
PMID:25557145
Abstract

PURPOSE

To explore Jordanian chronic illnesses patients' perceived exercise self-efficacy, benefits and barriers, and commitment to exercise planning, and to assess the relationship between those variables.

DESIGN

Descriptive cross-sectional design.

METHODS

Data were collected from a convenience sample of 402 outpatient Jordanians with chronic illnesses, using Exercise Self-Efficacy Scale, Exercise Benefits and Barriers Scale, and Commitment to a Plan for Exercise Scale.

FINDINGS

The average BMI was 28.3, and exercise period 3.2 hours/ week. Participants reported moderate perceived self-efficacy (M= 47.5%, SD= 11.7), commitment to exercise planning (M=2.0/3, SD=0.3), exercise barriers (M=2.4/4, SD=0.3), and benefits (M=2.3/4, SD=0.3). Commitment to exercise planning had a significant correlation with barriers (r=0.11) and benefits (r=0.10). Self-efficacy was not found to correlate with other variables.

CONCLUSIONS

Even though participants reported higher perceived self-efficacy and commitment to exercise plan than that reported in literature, they were found to be overweight and inactive, which indicates the importance of such study. Exercise education programs are needed taking into considerations patients' individual differences. However, the broad grouping of diseases may not produce a homogenous sample, for which disease categories are recommended in future studies.

CLINICAL RELEVANCE

Patients with chronic illness need more encouragement to engage themselves in exercise practices. Exercise educational program for patients with chronic illnesses should consider patients' reported exercise benefits and barriers.

摘要

目的

探讨约旦慢性病患者的运动自我效能感、运动益处和障碍以及对运动计划的坚持程度,并评估这些变量之间的关系。

设计

描述性横断面设计。

方法

采用运动自我效能量表、运动益处和障碍量表以及运动计划坚持程度量表,对402名约旦慢性病门诊患者的便利样本进行数据收集。

结果

平均体重指数为28.3,每周运动时长为3.2小时。参与者报告的自我效能感中等(M = 47.5%,标准差 = 11.7),对运动计划的坚持程度(M = 2.0/3,标准差 = 0.3),运动障碍(M = 2.4/4,标准差 = 0.3),以及运动益处(M = 2.3/4,标准差 = 0.3)。对运动计划的坚持程度与障碍(r = 0.11)和益处(r = 0.10)显著相关。未发现自我效能感与其他变量相关。

结论

尽管参与者报告的自我效能感和对运动计划的坚持程度高于文献报道,但他们被发现超重且缺乏运动,这表明此类研究的重要性。需要开展运动教育项目,并考虑患者的个体差异。然而,疾病的广泛分组可能无法产生同质样本,建议在未来研究中按疾病类别进行划分。

临床意义

慢性病患者需要更多鼓励以参与运动。针对慢性病患者的运动教育项目应考虑患者报告的运动益处和障碍。

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