Ki Eun Jeong, So Hyang Sook
Department of Nursing, Seoyoung University, Gwangju, Korea.
College of Nursing, Chonnam National University, Gwangju, Korea.
J Korean Acad Nurs. 2020 Feb;50(1):52-65. doi: 10.4040/jkan.2020.50.1.52.
To examine the effects of a smartphone application-based exercise program on self-efficacy expectations (SEE) and outcome expectations regarding exercise (OEE), physical fitness, activity level, physiological indices, and health-related quality of life in a sample of hemodialysis patients.
A quasi-experimental control group pre-test post-test design was used. Subjects were recruited from two university hospitals in G city. The subjects were assigned randomly by coin toss: 33 participants to the experimental group and 30 to the control group. A literature review and the self-efficacy theory were used to develop the smartphone program. Experts designed and verified the program to be userfriendly and in consideration of user interaction. Data were collected through a self-report pre-test post-test questionnaire and online medical records.
In the experimental group, the levels of physical fitness and physical activity were significantly improved post-test, but the scores on health-related quality of life and the physical indices did not improve. In the experimental group, the SEE and OEE post-test scores were also significantly higher than the pre-test scores, but the control group's scores did not change.
The smartphone application-based exercise program based on self-efficacy theory significantly improved the level of physical fitness and activity, SEE, and OEE for hemodialysis patients. The use of this application-based exercise program for hemodialysis patients might be an effective nursing intervention tool for improving SEE, OEE, level of physical fitness, and physical activity.
研究基于智能手机应用程序的运动计划对血液透析患者样本的自我效能期望（SEE）、运动结果期望（OEE）、身体素质、活动水平、生理指标以及健康相关生活质量的影响。
采用准实验对照组前测后测设计。研究对象从G市的两家大学医院招募。通过抛硬币随机分配受试者：33名参与者进入实验组，30名进入对照组。利用文献综述和自我效能理论开发智能手机程序。专家设计并验证该程序，使其便于用户使用并考虑到用户交互。通过自我报告前测后测问卷和在线医疗记录收集数据。
在实验组中，后测时身体素质和身体活动水平显著提高，但健康相关生活质量得分和身体指标未改善。在实验组中，后测时的SEE和OEE得分也显著高于前测得分，但对照组得分未改变。
基于自我效能理论的基于智能手机应用程序的运动计划显著提高了血液透析患者的身体素质和活动水平、SEE和OEE。对血液透析患者使用这种基于应用程序的运动计划可能是一种有效的护理干预工具，可提高SEE、OEE、身体素质水平和身体活动。
