《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (04): 489-493.

• 社区康复 • 上一篇    下一篇

自我效能与教育干预对慢性稳定期心力衰竭患者运动依从性的影响

汤春宜 1,2，王丽姿 1，钟克丹 3，李九莲 4，毛贵如 1，张婷玉 1
   

  1. 1.南方医科大学附属珠江医院，广东广州市 510282；2.广东省职业病防治院，广东广州市 510300；3.海珠区南石头街社区卫生服务中心，广东广州市 510280；4.海珠区沙园街社区卫生服务中心，广东广州市 510250。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-04-25 发布日期:2015-04-25

The Effectiveness of Self-efficacy and Education Intervention for Exercise Adherence of Patients with Chronic Stable Heart Failure

TANG Chun-yi1,2, WANG Li-zi2, ZHONG Ke-dan3, LI Jiu-lian4, MAO Gui-ru1, ZHANG Ting-yu1
   

  1. 1. Zhujiang Hospital of Southern Medical University, Guangzhou, Guangdong 510282, China; 2. Guangdong Prevention and Treatment Center for Occupational Diseases, Guangzhou, Guangdong 510300, China; 3. Nanshitou Street Community Health Service Center, Haizhu District, Guangzhou, Guangdong 510280, China; 4. Shayuan Street Community Health Service Center, Haizhu District, Guangzhou, Guangdong 510250, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-04-25 Online:2015-04-25

摘要： 目的 探讨运用自我效能理论对慢性稳定期心力衰竭患者进行运动康复干预的效果，为心力衰竭患者康复护理提供依据。方法 采用随机对照研究的方法，在广州市海珠区南石头街和沙园街社区分别随机抽取66例慢性稳定期心力衰竭患者，按居住的社区名称随机分为对照组和干预组，干预组进行自我效能与教育干预，对照组只进行健康教育。在干预前和干预后采用运动自我效能量表评估患者的运动自我效能，通过 6 min步行试验获得 6 min步行距离。结果 干预前两组的性别、年龄、文化程度、婚姻状况、心功能分级和并发症等一般资料比较无显著性差异(P>0.05)。干预后，干预组运动自我效能得分和6 min步行距离明显优于对照组(P<0.01)。结论 与单独健康教育相比，自我效能与教育干预能明显提高心力衰竭患者的运动自我效能，增加6 min步行距离。

关键词: 心力衰竭, 自我效能, 6 min步行试验, 运动康复, 护理

Abstract: Objective To evaluate the effectiveness of exercise rehabilitation intervention by using self-efficacy theory on patients with chronic stable heart failure, and to provide evidences for rehabilitation nursing of patients. Methods Using the method of randomized controlled studies, 132 patients with chronic stable heart failure from Nanshitou Street and Shayuan Street communities in Haizhu, Guangzhou, Guangdong were randomly divided into two groups according to the community's name. The patients in the intervention group received self-efficacy and education intervention while the control group received health education only. The patients' exercise self-efficacy scores and six minute walk distances were separately measured by exercise self-efficacy scale and six minute walk test before and after intervention. Results The scores of exercise self-efficacy and six minute walk distances increased more significantly in the intervention group than in the control group after intervention (P<0.01). Conclusion Self-efficacy and education intervention can effectively improve the exercise self-efficacy and six minute walk distance of patients with heart failure.

Key words: heart failure, self-efficacy, 6 minute walk test, exercise rehabilitation, nursing care