集群结合个体化的自我效能护理干预对血脂异常者运动依从性的影响
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摘要
目的探讨集群结合个体化的的自我效能护理干预对血脂异常者运动依从性的影响。方法将随机抽取的两所高校77例血脂异常的教师分为两组,两组均进行1次4阶段式集群健康教育,试验组在此基础上增加个体化指导、集群自发小组锻炼和集群微信平台互动的自我效能护理干预。干预时间共3个月,并于干预后当天、干预后3个月和6个月对两组进行随访。结果干预后,试验组各时间点GSES评分均高于对照组(P<0.05),运动达标率与对照组比较,有统计学差异(P<0.01),且GSES评分与运动次数存在显著正相关,另外,试验组干预后6个月TC、TG和LDL-C水平低于对照组(P<0.05)。结论集群结合个体化的的自我效能护理干预能够增强血脂异常者的自我效能感,改善运动依从性和血脂状况,可在血脂异常防治工作中进行推广应用。
Objective To investigate the effect of clustering combined with individualized self-efficacy nursing intervention on exercise compliance of patients with dyslipidemia. Methods A total of 77 dyslipidemia teachers were randomly selected from two colleges and then were divided into two groups. The two groups performed one 4-stage cluster health education. The experimental group was added with individualized guidance, cluster spontaneous group exercise and cluster WeChat platform interactive self-efficacy nursing intervention. The intervention time was for 3 months, and the two groups were followed up at 3 months and 6 months after the intervention. Results After intervention, the GSES scores of the experimental group were higher than those of the control group at various time points(P<0.05). The exercise compliance rate of the experimental group was statistically different from that of the control group(P<0.01), and the GSES score was significantly positively correlated with the number of exercise. In addition, the levels of TC, TG and LDL-C in the experimental group were lower than those in the control group at 6 months after intervention(P<0.05).Conclusion Clustering combined with individualized self-efficacy nursing intervention can enhance the self-efficacy of dyslipidemia, improve exercise compliance and blood lipid status, and can be promoted and applied in the prevention and treatment of dyslipidemia.
Objective To investigate the effect of clustering combined with individualized self-efficacy nursing intervention on exercise compliance of patients with dyslipidemia. Methods A total of 77 dyslipidemia teachers were randomly selected from two colleges and then were divided into two groups. The two groups performed one 4-stage cluster health education. The experimental group was added with individualized guidance, cluster spontaneous group exercise and cluster WeChat platform interactive self-efficacy nursing intervention. The intervention time was for 3 months, and the two groups were followed up at 3 months and 6 months after the intervention. Results After intervention, the GSES scores of the experimental group were higher than those of the control group at various time points(P<0.05). The exercise compliance rate of the experimental group was statistically different from that of the control group(P<0.01), and the GSES score was significantly positively correlated with the number of exercise. In addition, the levels of TC, TG and LDL-C in the experimental group were lower than those in the control group at 6 months after intervention(P<0.05).Conclusion Clustering combined with individualized self-efficacy nursing intervention can enhance the self-efficacy of dyslipidemia, improve exercise compliance and blood lipid status, and can be promoted and applied in the prevention and treatment of dyslipidemia.
引文
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[8]王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[9]王正珍. ACSM运动测试与运动处方指南[M].北京:人民卫生出版社,2010:1-232.
[10]韩瑛婷,谭梅芳.基于自我效能理论的伴侣参与式护理干预对母乳喂养的影响[J].护理学杂志,2018,33(10):27-30.
[11] Hayes A,Morzinski J,Ertl K,et al. Preliminary description of the feasibility of using peer leaders to encourage hypertension selfmanagement[J]. WMJ,2010,109(2):85-90.
[12]林子江,王常绿,林海西,等.团体人际心理治疗对社交恐惧症青少年的情绪调节自我效能感的疗效[J].中华全科医学,2018,16(9):1507-1511.
[13]王珊珊,刘彦慧,单秋菊,等.授权和自我效能对老年慢性病患者自我管理行为的影响研究[J].中国卫生事业管理,2017,(3):234-237.
[14] Bryan S, Pinto ZiPP G,Parasher R. The effects of yoga on psychosocial variables and exercise adherence:A randomized, controlled Pilot study[J].Alternative TheraPies in Health and Medicine,2012,(10):50-59.
[15] Marcus BH,Williams DM,Dubbert PM,et al. Physical activity intervention studies:What we know and what we need to know:A scientific statement from the American Heart Association Council on Nutrition,Physical Activity,and Metabolism(Subcommittee on Physical Activity);and the Interdisciplinary Working Group on Quality of Care and outcomes Research[J]. Circulation,2006,114(4):2739-2752.
[16] Marilyn MB,Helen AB. Improving health promotion for blue-collar workers[J]. Nurs Care Qual,2010,14(4):65-71.
[17] David H,Christian T,Kate H,et al.Exercise reduces liver lipids and visceral adiposity in patients with nonalcoholic steatohepatitis in a randomized controlled trial[J].Clinical Gastroenterology and Hepatology,2016,15(1):96-102.
[18]李宁川,尹夏莲,韦秀霞,等. 16周有氧运动对中老年baPWV及ABI的影响[J].中国应用生理学杂志,2018,34(2):145-149.
[2] Li Z,Lian H,Liang Q,et al.Effects of rosuvastatin combined with fasudil therapy on rabbits with dyslipidemia[J].Lipids in Health and Disease,2015,14(1):52-57.
[3]高秀芳,李勇.《中国成人血脂异常防治指南2016修订版》更新要点解析[J].中华高血压杂志,2017,25(1):15-18.
[4]焦志勤,马江平,赵秋利.哈尔滨市某高校教师2011-2014年血脂异常现状[J].中国学校卫生,2015,36(9):1364-1368.
[5] Bandura,Albelt.Social foundations of thought and action:A social cognitive theory[M].New Jersey:Prentice Hall,1986:1.
[6]贾晓琴,杨芳,孙玉倩,等.乳腺癌住院患者自我管理效能感和心理弹性对创伤后应激障碍发生的影响[J].中华行为医学与脑科学杂志,2016,25(4):323-327.
[7]陶贵周.血脂异常如何合理防治———一个争论的话题[J].医学与哲学,2017,38(9B):9.
[8]王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[9]王正珍. ACSM运动测试与运动处方指南[M].北京:人民卫生出版社,2010:1-232.
[10]韩瑛婷,谭梅芳.基于自我效能理论的伴侣参与式护理干预对母乳喂养的影响[J].护理学杂志,2018,33(10):27-30.
[11] Hayes A,Morzinski J,Ertl K,et al. Preliminary description of the feasibility of using peer leaders to encourage hypertension selfmanagement[J]. WMJ,2010,109(2):85-90.
[12]林子江,王常绿,林海西,等.团体人际心理治疗对社交恐惧症青少年的情绪调节自我效能感的疗效[J].中华全科医学,2018,16(9):1507-1511.
[13]王珊珊,刘彦慧,单秋菊,等.授权和自我效能对老年慢性病患者自我管理行为的影响研究[J].中国卫生事业管理,2017,(3):234-237.
[14] Bryan S, Pinto ZiPP G,Parasher R. The effects of yoga on psychosocial variables and exercise adherence:A randomized, controlled Pilot study[J].Alternative TheraPies in Health and Medicine,2012,(10):50-59.
[15] Marcus BH,Williams DM,Dubbert PM,et al. Physical activity intervention studies:What we know and what we need to know:A scientific statement from the American Heart Association Council on Nutrition,Physical Activity,and Metabolism(Subcommittee on Physical Activity);and the Interdisciplinary Working Group on Quality of Care and outcomes Research[J]. Circulation,2006,114(4):2739-2752.
[16] Marilyn MB,Helen AB. Improving health promotion for blue-collar workers[J]. Nurs Care Qual,2010,14(4):65-71.
[17] David H,Christian T,Kate H,et al.Exercise reduces liver lipids and visceral adiposity in patients with nonalcoholic steatohepatitis in a randomized controlled trial[J].Clinical Gastroenterology and Hepatology,2016,15(1):96-102.
[18]李宁川,尹夏莲,韦秀霞,等. 16周有氧运动对中老年baPWV及ABI的影响[J].中国应用生理学杂志,2018,34(2):145-149.