减重代谢手术前病人运动行为阶段及其影响因素

Study on preoperative exercise behavioral stages and its influencing factors in patients planning for bariatric surgery

[目的]了解减重代谢手术前病人运动行为阶段分布现况,并探讨其影响因素。[方法]采用一般情况调查表、运动阶段变化量表、运动自我效能量表、运动益处/障碍量表及社会支持评定量表对200例减重代谢术前肥胖病人进行调查。[结果]减重代谢手术前病人处于前意向阶段44例(22.0%),意向阶段79例(39.5%),准备阶段57例(28.5%),行动阶段12例(6.0%),维持阶段8例(4.0%)。病人术前运动自我效能总分为(41.26±21.31)分;运动益处/障碍量表总分为(123.68±13.86)分,感知运动益处得分为(85.61±11.07)分,感知运动障碍得分为(38.08±4.49)分;社会支持总分为(35.83±6.42)分,主观支持得分为(21.34±4.26)分,客观支持得分为(7.49±2.44)分,对支持的利用度得分为(7.01±1.86)分。运动自我效能、对运动益处的感知及主观支持是影响减重代谢术前病人所处运动行为阶段的主要因素(均P<0.05)。[结论]大多数减重代谢手术前病人运动行为仍处于运动前阶段,运动自我效能、对运动益处的感知及主观支持是病人运动行为阶段分布的影响因素。

Objective:To understand the current status quo of the exercise behavioral stages of patients before bariatric surgery,and to probe into its influencing factors.Methods:A total of 200 bariatric surgery patients were investigated by using general information questionnaire,Exercise Stages of Change Scale(ESC),Self-Efficacy for Exercise(SEE),Exercise Benefits and Barriers Scale(EBBS)and Social Support Rating Scale(SSRS).Results:A total of 44 patients(accounting for 22.0%)were in the pre-contemplation stage,79 cases(about 39.5%)were in the contemplation stage,57patients(about 28.5%)were in the exercise preparation stage,12 patients(about 6.0%)were in the action stage,and 8 cases(about 4.0%)were in the maintenance stage.The total score of SEE was 41.26±21.31.The total score of EBBS was 123.68±13.86,the perceived exercise benefit score was 85.61±11.07,and the perceived dyskinesia score was 38.08±4.49.The total score of SSRS was 35.83±6.42,the subjective and objective support scores were 21.34±4.26 and 7.49±2.44,respectively.And the support utilization score was 7.01±1.86.Self-efficacy for exercise,perceived exercise benefits and subjective support were main influencing factors of preoperative exercise behaviors stages among patients planning for receiving bariatric surgery(all P<0.05).Conclusions:Most patients before bariatric surgery were still in the pre-exercise stage.It was showed that exercise self-efficacy,perception of exercise benefits and subjective support were the influencing factors of the stages of patients'motor behaviors.