目的 探讨运动自我效能在运动恐惧与体育活动量间的中介作用。方法 采用便利抽样法,于2023年6月—2024年12月,选取北京市某三级甲等医院的303例急性A型主动脉夹层作为研究对象,采用一般资料调查表、心脏疾病运动恐惧量表、运动自我效能量表及体育活动等级量表进行调查。构建并检验中介模型。结果 本组急性A型主动脉夹层患者运动自我效能总分为（58.35±14.51）分,心脏疾病运动恐惧总分为（41.73±9.44）分,体育活动等级总分为（19.34±8.57）分。运动自我效能总分与运动恐惧呈负相关（r=-0.984,P<0.01）,体育活动量总分与运动恐惧呈负相关（r=-0.894,P<0.01）,与运动自我效能呈正相关（r=0.920,P<0.01）。运动自我效能在运动恐惧和体育活动量间起部分中介作用,中介效应为-0.236（95%CI: -0.328~-0.193）,占总效应的48.8%。结论 运动自我效能是急性A型主动脉夹层患者运动恐惧及体育活动量的部分中介变量,医护人员应注重降低患者运动恐惧水平,提高其运动自我效能,从而提高患者体育活动量。
Abstract
Objective To explore the mediating role of exercise self-efficacy between kinesiophobia and amount of physical activity. Methods Using conveniently sampling, 310 patients with acute type A aortic dissection from one tertiary grade-A hospital in Beijing from June 2023 to December 2024 were selected and investigated with General Information Questionnaire, The Tampa Scale for Kinesiophobia Heart, Exercise Self-Efficacy Scale and Physical Activity Rank Scale. The mediation model was constructed and tested. Results The total scores of Exercise Self-Efficacy Scale, The Tampa Scale for Kinesiophobia Heart and Physical Activity Rank Scale were 58.35±14.51, 41.73±9.44, and 19.34±8.57, respectively. The total score of exercise self-efficacy was negatively correlated with kinesiophobia (r=-0.984, P<0.01). The total score of amount of physical activity was negatively correlated with kinesiophobia (r=-0.894,P<0.01), while positively with exercise self-efficacy (r=0.920, P<0.01). Exercise self-efficacy played a partially mediating role between kinesiophobia and physical activity, with a mediating effect of -0.236 (95% CI: -0.328 to -0.193), accounting for 48.8% of the total effect. Conclusion Exercise self-efficacy is partial mediator between kinesiophobia and amount of physical activity. Healthcare providers should implement targeted interventions to reduce patients' kinesiophobia while enhancing exercise self-efficacy, thereby promoting sustainable physical activity engagement.
关键词
体育活动量 /
运动自我效能 /
运动恐惧 /
急性A型主动脉夹层 /
护理
Key words
amount of physical activity /
exercise self-efficacy /
kinesiophobia /
acute type A aortic dissection /
nursing
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Stiefel M, Brito da Silva H, Schmied CM, et al. Exercise, sports, and cardiac rehabilitation recommendations in patients with aortic aneurysms and post-aortic repair: a review of the literature[J].J Cardiovasc Dev Dis,2024 ,11(12):379. DOI: 10.3390/jcdd11120379.
[2] Nakayama A, Amiya E, Morita H,et al.The potential of cardiac rehabilitation as a method of suppressing abdominal aortic aneurysm expansion: a pilot study[J]. Heart Vessels, 2019,34(12):2031-2039.DOI:10.1007/s00380-019-01441-x.
[3] 袁丽霞,丁荣晶. 中国心脏康复与二级预防指南解读[J].中国循环志, 2019, 34(S1):86-90.DOI: 10.3969/j.issn.1000-3614.
[4] Çakal B, Yıldırım M, Emren SV.Kinesiophobia, physical performance, and health-related quality of life in patients with coronary artery disease[J]. Postepy Kardiol Interwencyjnej,2022,18(3):246-254.DOI:10.5114/aic.2022.122892.
[5] 金振华, 陈玲, 刘勇. 基于自我效能理论的数字化步行功能训练对脑卒中患者下肢功能的效果[J]. 中国康复理论与实践, 2023, 29(5): 504-509.
[6] 黄蓉,丁梅, 黄华华, 等. 运动自我效能在冠心病患者运动恐惧和体育活动量间的中介作用[J].中华护理教育, 2022, 19(12):1119-1123.DOI:10.3761/j.issn.1672-9234.2022.12.013.
[7] 陈虹辛, 程喜荣, 陈立夏, 等. 运动自我效能在老年慢性阻塞性肺疾病患者运动恐惧和身体活动间的中介作用[J]. 军事护理,2024,41(11):53-56.DOI:10.3969/j.issn.2097G1826. 2024.11.013.
[8] 耿文垚, 孙晓方, 李丽, 等. 健康行为过程取向理论及助推策略相结合的妊娠糖尿病患者饮食管理方案的构建[J]. 中国护理管理, 2022, 22(8): 1199-1204.DOI:10.3969/j.issn. 1672-1756.2022.08.017.
[9] Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the american heart association/american college of cardiology joint committee on clinical practice guidelines[J]. Circulation, 2022,146(24):e334-e482.DOI:10.1161/CIR.0000000000001106. Epub 2022 Nov 2.
[10] 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380.DOI:10.3761/j.issn.0254-1769.2010.04.037.
[11] Bäck M, Jansson B, Cider A, et al.Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease[J]. Journal of Rehabilitation Medicine,2012,44(4):363-369.DOI:10.2340/16501977-0942.
[12] 雷梦杰,刘婷婷,熊司琦,等.心脏病患者运动恐惧量表的汉化及信度效度检验[J].中国护理管理,2019,19(11): 1637-1642.DOI: 10.3969/j.issn.1672-1756.2019.11.009.
[13] Bandura A.Social learning theory[M]. Engleweod Cliffs: Pren tice-Hall, 1997: 79.
[14] Tung WC, Gillett PA, Pattillo RE.Applying the Transtheoreti cal Model to physical activity in family caregivers in Taiwan[J].Public Health Nurs,2005,22(4):299-310.DOI: 10.1111/j.0737-1209.2005.220405.x.
[15] Hashimoto K.Stress, exercise quality of life proceeding[C]. Bei jing Asian Games Scientific Congress, 1990.
[16] 梁德清. 高校学生应激水平及其与体育锻炼的关系[J]. 中国心理卫生杂志, 1994(1): 5-6.
[17] Zhou N, Fortin G, Balice M, et al.Evolution of early postoperative cardiac rehabilitation in patients with acute type A aortic dissection[J]. Clin Med, 2022, 11(8): 2107.DOI: 10.3390/jcm11082107.
[18] 王利敏, 方继红, 武凤芹, 等. 运动恐惧在学龄期四肢骨折患儿自我效能与早期功能锻炼依从性间的中介效应[J]. 护理学报, 2025, 32(3): 1-5. DOI: 10.16460/j.issn1008-9969. 2025. 03. 001.
[19] 王丹宁, 纪星, 闫伟红, 等. 冠心病PCI术后患者居家运动康复依从性现状及影响因素的混合研究[J]. 护理学报, 2024, 31(16): 6-11. DOI:10.16460/j.issn1008-9969.2024.16.006.
[20] 于甜栖, 孙国珍, 高敏, 等. 运动自我效能在慢性心力衰竭患者运动恐惧与运动康复依从性间的中介效应[J]. 现代预防医学, 2022, 49(22): 4163-4168. DOI: 10.20043/j. cnki. MPM. 202204201.
[21] 兰云霞, 易梦思, 王晓明, 等. 基于恐惧-回避模型的康复护理方案在老年慢性心力衰竭患者中的应用[J]. 护理学杂志, 2024, 39(11): 96-100.
[22] 柴媛媛, 沈斌, 邢韦韦. 冠心病患者运动自我效能现状及其影响因素分析[J]. 中华现代护理杂志, 2021, 27(26)3562-3566.DOI:10.3760/cma.j.cn115682-20210321-01231.
PDF(853 KB)
