Gazi University, Faculty of Health Sciences, Department of Nursing, 06490, Ankara, Turkey.
Patient Educ Couns. 2021 May;104(5):1183-1192. doi: 10.1016/j.pec.2020.10.003. Epub 2020 Oct 10.
To determine the effect of nurse-led program based on Pender's Health Promotion Model on the exercise behaviors of coronary artery patients.
The two-arm parallel, single-blind, randomized controlled trial was conducted with a total of 62 patients, intervention (n = 32) and control group (n = 30). Intervention group received a nurse-led program based on Pender's Health Promotion Model and routine follow-ups of control group continued. The health perception, perceived exercise self efficacy, perceived exercise benefits/barriers, exercise-related effect, exercise frequency and time were assessed at baseline, 4th, 8th and 12th weeks. The data were evaluated by frequency, percentage, median, mean and standard deviation, chi-square, Friedman and Mann Whitney U tests.
Health perception (62.6 ± 9.5; median:67.0; p < 0.001), perceived exercise benefit (105.8 ± 7.4; median:107.0; p < 0.001), perceived exercise self efficacy (71.2 ± 5.4; median: 71.5; p < 0.05), exercise-related effect (31.6 ± 6.0; median:34.0; p < 0.05), exercise frequency (4.8 ± 2.2; median:6.0 days/week; p < 0.05) and time (105.9 ± 53.6; median:130.0 min/week; p < 0.05) were higher and perceived barriers (43.1 ± 3.9; median: 42.0; p < 0.001) were lower in the intervention group at 12th week.
The nurse-led program has been shown to increase the exercise behavior in the intervention group.
Since it enables patients to gain and maintain exercise, it is highlighted the model to be integrated into clinical practice.
基于彭德健康促进模式确定护士主导方案对冠状动脉患者运动行为的影响。
采用双臂平行、单盲、随机对照试验，共纳入 62 例患者，干预组（n=32）和对照组（n=30）。干预组接受基于彭德健康促进模式的护士主导方案，对照组继续进行常规随访。在基线、第 4、8 和 12 周评估健康感知、感知运动自我效能、感知运动益处/障碍、运动相关效果、运动频率和时间。采用频数、百分比、中位数、均数和标准差、卡方、Friedman 和 Mann Whitney U 检验进行数据分析。
健康感知（62.6±9.5；中位数：67.0；p＜0.001）、感知运动益处（105.8±7.4；中位数：107.0；p＜0.001）、感知运动自我效能（71.2±5.4；中位数：71.5；p＜0.05）、运动相关效果（31.6±6.0；中位数：34.0；p＜0.05）、运动频率（4.8±2.2；中位数：6.0 天/周；p＜0.05）和时间（105.9±53.6；中位数：130.0 min/周；p＜0.05）在第 12 周时干预组更高，感知障碍（43.1±3.9；中位数：42.0；p＜0.001）在干预组更低。
护士主导方案可增加干预组的运动行为。
由于该方案能使患者获得和保持运动，故强调将该模式纳入临床实践。
