Nicholson S L, Greig C A, Sniehotta F, Johnston M, Lewis S J, McMurdo M E, Johnston D, Scopes J, Mead G E
S Nicholson, Physical Activity for Health, Research Centre, University of Edinburgh, St Leonards Land, Holyrood Road, Edinburgh EH8 9JX, UK. Email:
J R Coll Physicians Edinb. 2017 Sep;47(3):231-236. doi: 10.4997/JRCPE.2017.304.
Levels of physical activity after stroke are low, despite multiple health benefits. We explored stroke survivors' perceived barriers, motivators, self-efficacy and intention to physical activity.
Fifty independently mobile stroke survivors were recruited prior to hospital discharge. Participants rated nine possible motivators and four possible barriers based on the Mutrie Scale, as having 'no influence', 'some influence' or 'a major influence' on physical activity. Participants also rated their self-efficacy and intention to increasing walking.
The most common motivator was 'physical activity is good for health' [34 (68%)]. The most common barrier was 'feeling too tired' [24 (48%)]. Intention and self-efficacy were high. Self-efficacy was graded as either 4 or 5 (highly confident) on a five-point scale by [34 (68%)] participants, while 42 (84%) 'strongly agreed' or 'agreed' that they intended to increase their walking.
Participants felt capable of increasing physical activity but fatigue was often perceived as a barrier to physical activity. This needs to be considered when encouraging stroke survivors to be more active.
尽管中风后进行体育活动对健康有诸多益处，但中风后的身体活动水平较低。我们探讨了中风幸存者对体育活动的感知障碍、动机、自我效能感和意愿。
在出院前招募了50名能够独立活动的中风幸存者。参与者根据穆特里量表对9种可能的动机和4种可能的障碍进行评分，评估其对体育活动是“没有影响”、“有一些影响”还是“有重大影响”。参与者还对自己增加步行的自我效能感和意愿进行了评分。
最常见的动机是“体育活动有益健康”[34人（68%）]。最常见的障碍是“感觉太累”[24人（48%）]。意愿和自我效能感较高。34名（68%）参与者将自我效能感在五点量表上评为4或5（高度自信），而42名（84%）“强烈同意”或“同意”他们打算增加步行量。
参与者认为自己有能力增加体育活动，但疲劳常被视为体育活动的障碍。在鼓励中风幸存者增加活动量时需要考虑这一点。
