Jeng C, Braun L T
J Holist Nurs. 1994 Dec;12(4):425-36. doi: 10.1177/089801019401200411.
To help patients achieve the greatest benefit from cardiac rehabilitation programs, nurses must assist them to modify unhealthy behaviors. Many cardiac rehabilitation programs, however, lack a theoretical foundation; therefore, interventions are usually executed without accounting for the complexities of human behavior, and little consideration is given to the difficulties encountered in altering unhealthy behavior patterns. Bandura's self-efficacy theory is considered a suitable model for cardiac rehabilitation because it provides a systematic direction which allows one to interpret, modify, and predict patients' behaviors. This article describes the development of and conceptual framework for Bandura's theory, how it provides a basis for measurement of self-efficacy, and how it may be applied to the study of cardiac rehabilitation. Finally, some research issues, which are related to applications of self-efficacy theory in cardiac rehabilitation are discussed.
为帮助患者从心脏康复计划中获得最大益处，护士必须协助他们改变不健康行为。然而，许多心脏康复计划缺乏理论基础；因此，干预措施通常在未考虑人类行为复杂性的情况下实施，而且很少考虑改变不健康行为模式时遇到的困难。班杜拉的自我效能理论被认为是心脏康复的合适模型；因为它提供了一个系统的方向，使人们能够解释、改变和预测患者的行为。本文描述了班杜拉理论的发展及其概念框架，它如何为自我效能的测量提供基础，以及它如何应用于心脏康复研究。最后，讨论了一些与自我效能理论在心脏康复中的应用相关的研究问题。
