The purpose of this study was to investigate whether self-efficacy for exercise decreased 12 weeks after educational intervention in diabetic patients and whether this had an effect on glycemic control. Thirty-eight d...The purpose of this study was to investigate whether self-efficacy for exercise decreased 12 weeks after educational intervention in diabetic patients and whether this had an effect on glycemic control. Thirty-eight diabetic patients underwent a 2-week educational program and were then followed for 12 weeks after discharge. The intervention program was delivered by several types of medical professionals. Lectures on exercise were given by a physical therapist, who tailored exercise instructions for individual patients. The assessment of self-efficacy for exercise was performed using a scale from a previous study, modified for Japanese people. The scale consisted of four sub-items: physical fatigue, mental stress, lack of time, and poor weather. Measurements were performed at the time of discharge and 12 weeks after discharge. Glycated hemoglobin (HbA1c) levels were assessed as an index of glycemic control, and diabetic status and social status factors were recorded. The physical fatigue and lack of time components of the self-efficacy for exercise scale were significantly decreased 12 weeks after discharge. Positive correlations were found between HbA1c levels at 12 weeks and duration of diabetes, number of educational admissions, and presence of diabetic retinopathy. The results suggest that the factors that are difficult to reproduce during hospital education (physical fatigue and lack of time) are the ones that decrease after discharge. To clarify the relationship between changes in self-efficacy for exercise and glycemic control, further studies with an extended follow-up period (24 weeks or 48 weeks) are needed.展开更多
文章探讨了锻炼态度对体育学习投入的影响以及自我效能感的中介作用.采用体育锻炼态度量表、学习投入量表和自我效能量表,选取甘肃省4所高职院校784名大学生进行问卷调查.结果表明,锻炼态度对体育学习投入呈显著正相关(β=0.994, p <...文章探讨了锻炼态度对体育学习投入的影响以及自我效能感的中介作用.采用体育锻炼态度量表、学习投入量表和自我效能量表,选取甘肃省4所高职院校784名大学生进行问卷调查.结果表明,锻炼态度对体育学习投入呈显著正相关(β=0.994, p <0.001);自我效能感对体育学习投入呈显著正相关(β=1.078, p <0.001);自我效能感在两者之间具有完全中介作用,且自我效能感的效应占比达84%.由此得出结论:锻炼态度、自我效能感和体育学习投入三者间具有明显正相关性;通过提高锻炼态度可以增强体育学习投入的积极性,也可以通过提高自我效能感间接提高体育学习投入.展开更多
Objectives To explore the effectiveness of the mobile app-based multidisciplinary exercise management on patients who receive percutaneous coronary intervention(PCI).Methods From January to October 2020,54 patients af...Objectives To explore the effectiveness of the mobile app-based multidisciplinary exercise management on patients who receive percutaneous coronary intervention(PCI).Methods From January to October 2020,54 patients after PCI were randomly assigned to the intervention group(n=27)and the control group(n=27).The intervention group received the mobile app-based multidisciplinary exercise management,whereas the control group received routine care.The patients after PCI began to take intervention one month after the operation,and the intervention lasted for two months.Before and after the intervention,6-Minute Walking Distance was used to evaluate the patient’s exercise tolerance,and the patient’s exercise compliance was evaluated according to the patient’s exercise status recorded by the mobile app.The cognitive questionnaire on knowledge about PCI treatment for Coronary Heart Disease,the Self-efficacy for Chronic Disease Scale and the Perceived Social Support Scale were used to evaluate patients’disease-related cognition,self-efficacy and perception of social support.This study was registered on Clinical Trials.gov with registration number ChiCTR2000028930.Results Totally 51 patients after PCI who completed this study(25 patients in the intervention group and 26 patients in the control group)were included in the analysis.After 2 months of intervention,the exercise compliance of patients in the intervention group was better than that in the control group.And 6-Minute Walking Distance(469.36±57.48 vs.432.81±67.09),and the scores of knowledge of PCI treatment for coronary heart disease(52.64±9.82 vs.42.42±8.54),Self-efficacy for Chronic Disease Scale(42.40±8.04 vs.36.88±7.73)and Perceived Social Support Scale(74.04±5.73 vs.66.69±6.86)in the intervention group were higher than those in the control group with statistical significance(P<0.05).Conclusions The multidisciplinary exercise management based on the mobile app can effectively improve exercise tolerance,exercise compliance,disease-related cognition,self-efficacy,and perception of social support during exercise training for patients after PCI.展开更多
目的探讨术后6个月内肺癌根治术后患者自我管理效能感与运动依从性的变化趋势,并分析二者间的预测关系,为改善术后患者运动依从性提供参考。方法采用便利抽样法,选取2022年12月至2023年5月南充市2所三级甲等综合医院胸外科首次行肺癌根...目的探讨术后6个月内肺癌根治术后患者自我管理效能感与运动依从性的变化趋势,并分析二者间的预测关系,为改善术后患者运动依从性提供参考。方法采用便利抽样法,选取2022年12月至2023年5月南充市2所三级甲等综合医院胸外科首次行肺癌根治术的188例患者作为研究对象,采用中文版癌症自我管理效能感量表(Chinese-version strategies used by people to promote health,C-SUPPH)、运动依从性量表调查患者出院前1d(TI)与术后1个月(T2)、3个月(T3)、6个月(T4)的自我管理效能感及运动依从性水平,构建交叉滞后模型分析自我管理效能感与运动依从性间的因果关系。结果178例患者完成研究;术后6个月内,肺癌根治术后患者自我管理效能感、运动依从性均呈先上升后下降趋势(均P<0.05);交叉滞后模型显示,术后早期(TI~T2)患者自我管理效能感与运动依从性互为因果(β=0.254,P=0.003;β=0.332,P=0.007);中期(T2~T3)患者自我管理效能感能正向预测运动依从性(β=0.286,P<0.001);后期(T3~T4)两者不能相互预测(均P>0.05)。结论肺癌根治术后患者自我管理效能感处于中等水平、运动依从性处于低水平;肺癌根治术后患者自我管理效能感、运动依从性的初始水平并不代表长期治疗后的变化趋势,两者间的预测关系也会发生改变。医护人员需考虑其动态变化特征和个体差异,在患者术后的各个阶段进行评估,及时给予针对性的干预。展开更多
文摘The purpose of this study was to investigate whether self-efficacy for exercise decreased 12 weeks after educational intervention in diabetic patients and whether this had an effect on glycemic control. Thirty-eight diabetic patients underwent a 2-week educational program and were then followed for 12 weeks after discharge. The intervention program was delivered by several types of medical professionals. Lectures on exercise were given by a physical therapist, who tailored exercise instructions for individual patients. The assessment of self-efficacy for exercise was performed using a scale from a previous study, modified for Japanese people. The scale consisted of four sub-items: physical fatigue, mental stress, lack of time, and poor weather. Measurements were performed at the time of discharge and 12 weeks after discharge. Glycated hemoglobin (HbA1c) levels were assessed as an index of glycemic control, and diabetic status and social status factors were recorded. The physical fatigue and lack of time components of the self-efficacy for exercise scale were significantly decreased 12 weeks after discharge. Positive correlations were found between HbA1c levels at 12 weeks and duration of diabetes, number of educational admissions, and presence of diabetic retinopathy. The results suggest that the factors that are difficult to reproduce during hospital education (physical fatigue and lack of time) are the ones that decrease after discharge. To clarify the relationship between changes in self-efficacy for exercise and glycemic control, further studies with an extended follow-up period (24 weeks or 48 weeks) are needed.
文摘文章探讨了锻炼态度对体育学习投入的影响以及自我效能感的中介作用.采用体育锻炼态度量表、学习投入量表和自我效能量表,选取甘肃省4所高职院校784名大学生进行问卷调查.结果表明,锻炼态度对体育学习投入呈显著正相关(β=0.994, p <0.001);自我效能感对体育学习投入呈显著正相关(β=1.078, p <0.001);自我效能感在两者之间具有完全中介作用,且自我效能感的效应占比达84%.由此得出结论:锻炼态度、自我效能感和体育学习投入三者间具有明显正相关性;通过提高锻炼态度可以增强体育学习投入的积极性,也可以通过提高自我效能感间接提高体育学习投入.
基金This study was provided by The Scientific Reuter Foundation of Liaoning Provincial Education Department,China(grant no.LZ2020039).
文摘Objectives To explore the effectiveness of the mobile app-based multidisciplinary exercise management on patients who receive percutaneous coronary intervention(PCI).Methods From January to October 2020,54 patients after PCI were randomly assigned to the intervention group(n=27)and the control group(n=27).The intervention group received the mobile app-based multidisciplinary exercise management,whereas the control group received routine care.The patients after PCI began to take intervention one month after the operation,and the intervention lasted for two months.Before and after the intervention,6-Minute Walking Distance was used to evaluate the patient’s exercise tolerance,and the patient’s exercise compliance was evaluated according to the patient’s exercise status recorded by the mobile app.The cognitive questionnaire on knowledge about PCI treatment for Coronary Heart Disease,the Self-efficacy for Chronic Disease Scale and the Perceived Social Support Scale were used to evaluate patients’disease-related cognition,self-efficacy and perception of social support.This study was registered on Clinical Trials.gov with registration number ChiCTR2000028930.Results Totally 51 patients after PCI who completed this study(25 patients in the intervention group and 26 patients in the control group)were included in the analysis.After 2 months of intervention,the exercise compliance of patients in the intervention group was better than that in the control group.And 6-Minute Walking Distance(469.36±57.48 vs.432.81±67.09),and the scores of knowledge of PCI treatment for coronary heart disease(52.64±9.82 vs.42.42±8.54),Self-efficacy for Chronic Disease Scale(42.40±8.04 vs.36.88±7.73)and Perceived Social Support Scale(74.04±5.73 vs.66.69±6.86)in the intervention group were higher than those in the control group with statistical significance(P<0.05).Conclusions The multidisciplinary exercise management based on the mobile app can effectively improve exercise tolerance,exercise compliance,disease-related cognition,self-efficacy,and perception of social support during exercise training for patients after PCI.
文摘目的探讨术后6个月内肺癌根治术后患者自我管理效能感与运动依从性的变化趋势,并分析二者间的预测关系,为改善术后患者运动依从性提供参考。方法采用便利抽样法,选取2022年12月至2023年5月南充市2所三级甲等综合医院胸外科首次行肺癌根治术的188例患者作为研究对象,采用中文版癌症自我管理效能感量表(Chinese-version strategies used by people to promote health,C-SUPPH)、运动依从性量表调查患者出院前1d(TI)与术后1个月(T2)、3个月(T3)、6个月(T4)的自我管理效能感及运动依从性水平,构建交叉滞后模型分析自我管理效能感与运动依从性间的因果关系。结果178例患者完成研究;术后6个月内,肺癌根治术后患者自我管理效能感、运动依从性均呈先上升后下降趋势(均P<0.05);交叉滞后模型显示,术后早期(TI~T2)患者自我管理效能感与运动依从性互为因果(β=0.254,P=0.003;β=0.332,P=0.007);中期(T2~T3)患者自我管理效能感能正向预测运动依从性(β=0.286,P<0.001);后期(T3~T4)两者不能相互预测(均P>0.05)。结论肺癌根治术后患者自我管理效能感处于中等水平、运动依从性处于低水平;肺癌根治术后患者自我管理效能感、运动依从性的初始水平并不代表长期治疗后的变化趋势,两者间的预测关系也会发生改变。医护人员需考虑其动态变化特征和个体差异,在患者术后的各个阶段进行评估,及时给予针对性的干预。
