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妊娠期糖尿病后身体活动的预测因素:健康行动过程方法的应用

Predictors of physical activity following gestational diabetes: Application of health action process approach.

作者信息

Mohammadi Zeidi Banafsheh, Kariman Nourossadat, Kashi Zahra, Mohammadi Zeidi Isa, Alavi Majd Hamid

机构信息

Student Research Committee Department of Midwifery and Reproductive Health School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences Tehran Iran.

Midwifery and Reproductive Health Research Center Midwifery and Reproductive Health Department School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences Tehran Iran.

出版信息

Nurs Open. 2020 May 21;7(4):1060-1066. doi: 10.1002/nop2.486. eCollection 2020 Jul.

DOI:10.1002/nop2.486
PMID:32587725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7308703/
Abstract

AIM

Regular physical activity can reduce the chance of developing type 2 diabetes in women with a history of gestational diabetes. The present study investigated the relationship between the constructs of the health action process approach and regular physical activity in women with a history of gestational diabetes.

DESIGN

This was a cross-sectional study.

METHODS

A total of 150 women who had given birth 6-24 months prior to the study and had experienced gestational diabetes in their recent pregnancy were selected using multistage cluster sampling. Data were collected from December 2018 to May 2019 using a researcher-made questionnaire including constructs of health action process approach.

RESULTS

The common fit indices revealed that health action process approach had an acceptable fit to the observations (root mean square error of approximation = 0.054, Tucker-Lewis index = 0.95, comparative fit index = 0.955). The model's constructs predicted 48% of intention variance and 35% of physical activity variance. Action self-efficacy and coping planning were the most important predictors of intention and behaviour, respectively.

摘要

目的

规律的体育活动可降低有妊娠期糖尿病病史女性患2型糖尿病的几率。本研究调查了健康行动过程方法的各构成要素与有妊娠期糖尿病病史女性规律体育活动之间的关系。

设计

这是一项横断面研究。

方法

采用多阶段整群抽样法,选取了150名在研究前6 - 24个月分娩且近期妊娠有妊娠期糖尿病经历的女性。2018年12月至2019年5月期间,使用一份由研究者编制的包含健康行动过程方法各构成要素的问卷收集数据。

结果

常见的拟合指数显示,健康行动过程方法与观察结果具有可接受的拟合度(近似均方根误差 = 0.054,塔克 - 刘易斯指数 = 0.95,比较拟合指数 = 0.955)。该模型的各构成要素预测了48%的意向方差和35%的体育活动方差。行动自我效能和应对计划分别是意向和行为的最重要预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/7308703/34f6c12bcfa7/NOP2-7-1060-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/7308703/34f6c12bcfa7/NOP2-7-1060-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/7308703/34f6c12bcfa7/NOP2-7-1060-g001.jpg

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本文引用的文献

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Exploring the effectiveness of physical activity interventions in women with previous gestational diabetes: A systematic review of quantitative and qualitative studies.探索体育活动干预对既往患有妊娠期糖尿病女性的有效性:对定量和定性研究的系统评价。
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Corrigendum.勘误
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关于孕期及产后预防和治疗妊娠期糖尿病及孕前已患糖尿病的体育活动的一般建议综述。
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