脑卒中患者体力活动不足现状及其影响因素研究进展

Research Progress on Status Quo and Influencing Factors of Physical Inactivity Behavior of Stroke Patients

体力活动消耗每周小于4180 kJ可被判定为体力活动不足(physical inactivity,PI),规律的体力活动是预防和管理脑卒中的根本措施。脑卒中患者体力活动研究不多见且国外报道多于国内,其体力活动水平总体呈现出低下,并直接或间接地影响着患者的身心健康。脑卒中患者PI的影响因素主要为社会人口学因素、自我效能、疾病状况、心理因素及感知到的益处。对体力活动现状进行评估和干预时,除了借鉴国外研究的经验,更需要结合国情、规范评估的工具,提出中国式个体化的护理干预方案。

Physical activity consumption less than 4180 kJ·week-1 can be judged as insufficient physical activity.Regular physical activity is the fundamental measure to prevent and manage stroke.Research on physical activity of stroke patients is generally rare,and foreign reports are more than domestic reports,while the level of physical activity is generally low,and directly or indirectly affects the physical and mental health of patients.The main influencing factors of physical activity deficiency in stroke patients are sociodemographic factors,self-efficacy,disease status,psychological factors and perceived benefits.When evaluating and intervening the physical activity status of stroke patients,in addition to learning from foreign research experience,it is important to combine the national conditions,standardize the evaluation tools and programs,and put forward Chinese individualized nursing interventions.