应用跨理论模型对稳定期COPD居家患者实施居家运动干预的研究

应用跨理论模型对稳定期COPD居家患者实施居家运动干预的研究

马伟光郭爱敏伍青马芳

北京协和医学院护理学院（马伟光，郭爱敏，伍青）；昆明医科大学第一附属医院护理部（马芳）

出版日期:2016-10-25 发布日期:2016-10-25
基金资助:
美国中华医学基金会（CMB）护理青年教师科研基金（10-020-201307）；北京协和医学院青年教师培养项目（2014zlgc0744）

Application of a home based physical activity program based on the Transtheoretical Model among COPD patients in stable phase

Online:2016-10-25 Published:2016-10-25

摘要/Abstract

摘要： 目的：评价跨理论模型促进居家运动方案实施情况的效果。方法：抽取 2013 年 10 月至 2015 年 4月在北京协和医院门诊就诊的稳定期慢性阻塞性肺疾病（COPD) 患者共 120 名为研究对象，按照就诊日期分为干预组（n=61）和对照组 (n=59)。对照组接受一对一居家运动宣教，干预组在宣教的基础上进行基于跨理论模型（TTM）的随访，持续 8 周。结果：干预组在行为改变过程的认知层面和行为层面、决策平衡利益因子和自我效能方面的得分均优于对照组，而障碍因子得分则显著低于对照组，居家运动行为阶段优于对照组（ P <0.05）。结论：基于跨理论模型的居家运动方案能够提高患者对居家运动的参与度。

Abstract: Objective: To explore the effectiveness of a home based physical activity program based on the Transtheoretical Model among COPD patients in stable phase. Method: Totally 120 COPD patients in stable phase were recruited from outpatient clinic of Peking Union Mecdical College Hospital from October 2013 to April 2015. We divided them into intervention group and control group. Patients in control group received routine education about home based physical exercise, while patients in intervention group received 8-week telephone follow-up based on the Transtheoretical Model besides routine education. Results: There were statistically significant differences (P<0.05) in the process of behavior change(cognitive level and behavior level), decisional balance (interest and obstacle factors) and self-efficacy between the two groups.More patients in intervention group participated in home based physical activity than those in control group. Conclusion: The home based physical activity program based on the Transtheoretical Model could promote the patients' participation.

马伟光郭爱敏伍青马芳. 应用跨理论模型对稳定期COPD居家患者实施居家运动干预的研究[J]. , 2016, 16(10): 1385-1390.