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

doi:10.3761/j.issn.1672-9234.2022.12.013

摘要/Abstract

摘要：

目的了解冠心病患者体育活动量、运动恐惧和运动自我效能的现状，探讨运动自我效能在运动恐惧和体育活动量间的中介作用。方法采用便利抽样法，选取2020年12月—2021年3月江西省赣州市某三级甲等医院心内科门诊复查的276例冠心病患者为研究对象，使用一般资料调查表、体育活动等级量表、心脏疾病患者运动恐惧量表和运动自我效能量表对其进行调查。结果冠心病患者体育活动总分为（17.58±14.09）分，运动恐惧总分为（36.32±5.04）分，运动自我效能总分为（54.10±26.03）分。运动自我效能在运动恐惧与体育活动量间起部分中介效应（β=-0.263， P<0.01），效应占比为49.94%。结论冠心病患者的体育活动量处于低水平，运动恐惧和运动自我效能处于中等水平。运动恐惧可直接影响冠心病患者体育活动量，也可以通过运动自我效能间接影响体育活动量。

关键词: 冠心病, 体育活动, 自我效验, 问卷调查, 运动恐惧

Abstract:

Objective To investigate the current status of amount of physical activity，kinesiophobia and exercise self-efficacy in patients with coronary heart disease，and to analyze the mediating role of exercise self-efficacy between kinesiophobia and amount of physical activity. Methods Convenience sampling was conducted with a total of 276 outpatient review patients with coronary heart disease admitted to the department of cardiology in a Grade Ⅲ level A hospital in Ganzhou city，Jiangxi Province from December 2020 to March 2021. General data questionnaire，Physical Activity Rank Scale，Tampa Scale for Kinesiophobia Heart，Exercise Self-efficacy Scale were employed. Results The total score of physical activity，kinesiophobia and exercise self-efficacy in patients with coronary heart disease was（17.58±14.09），（36.32±5.04），and（54.10±26.03），respectively. Exercise self-efficacy played a part of mediating effect between kinesiophobia and physical activity（β=-0.263，P<0.01），and effect ratio was 49.94%. Conclusion Patients with coronary heart disease hold a low level of physical activity. Kinetophobia can directly affect the physical activity of patients with coronary heart disease，and can indirectly affect the physical activity through exercise self-efficacy.

Key words: Coronary Disease, Sports, Self Efficacy, Questionnaires, Kinesiophobia

黄蓉, 丁梅, 黄华华, 张华伟. 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.

HUANG Rong, DING Mei, HUANG Huahua, ZHANG Huawei. Mediating effect of exercise self-efficacy between kinesiophobia and amount of physical activity in patients with coronary heart disease[J]. Chinese Journal of Nursing Education, 2022, 19(12): 1119-1123.

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