Jeong Jeong Hee, Jeong Ihn Sook
Department of Nursing, Daedong College, Busan, Korea.
College of Nursing, Pusan National University, Yangsan, Korea.
J Korean Acad Nurs. 2017 Jun;47(3):406-419. doi: 10.4040/jkan.2017.47.3.406.
The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention.
The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the χ²-test, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18.
The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (χ²=26.61, p<.001).
The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.
本研究旨在为身体残疾者开发一个促进运动改善的动机性访谈项目，并检验该动机性访谈干预措施的效果。
本研究采用非等效对照组前测和后测设计。从2个社区康复中心招募了62名身体残疾者（实验组30人，对照组32人）。实验组接受为期8周的团体动机性访谈项目，每周进行1次，每次持续60分钟。在干预前、干预结束后立即、2周后以及干预结束后6周完成测试指标。指标包括运动自我效能感、运动决策平衡、运动改变阶段、运动规律性、运动维持情况以及独立生活能力。使用IBM SPSS Statistics 18版进行χ²检验、Fisher精确检验、独立样本t检验和重复测量方差分析来分析数据。
实验组在运动自我效能感（F = 50.98，p <.001）、运动益处（F = 24.16，p <.001）和独立生活能力（F = 50.94，p <.001）方面显著提高，在运动损失（F = 26.50，p <.001）方面显著降低。两组在运动改变阶段（p <.001）以及运动规律性（p <.001）和运动维持情况（χ² = 26.61，p <.001）方面存在显著差异。
动机性访谈项目有潜力提高身体残疾者的运动水平。
