在患有慢性阻塞性肺病的患者中,运动自我有效性尺度的心理测量特性
Cristina Sacristán-Galisteo1,2, Tamara Del Corral3, Ibai López-de-Uralde-Villanueva3
1Las Fronteras Healthcare Center, Primary Care Assistance Management, Madrid, Spain.
PloS one
|July 11, 2025
概括
运动自我效率 (ESE) 尺度对于患有慢性阻塞性肺病 (COPD) 的人来说是可靠和有效的. 较高的ESE分数与COPD患者更好的运动能力和心理状况相关.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 心理学 心理学 心理学
- 康复科学 康复科学 康复科学
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响患者的功能性运动能力,生活质量和心理健康.
- 自我效能,相信自己有能力取得成功,是管理慢性疾病 (如COPD) 的关键因素.
- 运动自我效率 (ESE) 尺度是评估这种信念的潜在工具,但其在COPD人群中的心理特征需要彻底调查.
研究的目的:
- 评估COPD诊断患者的运动自我效率 (ESE) 尺度的心理测量特性,包括可靠性和有效性.
- 研究COPD患者的运动自我效能,功能性运动能力,与健康有关的生活质量和心理状态之间的关系.
主要方法:
- 一项涉及156名来自西班牙初级保健中心的COPD患者的横截面研究.
- 使用探索性因子分析 (EFA) 和确认性因子分析 (CFA) 来构建有效性的ESE尺度的心理测量评估.
- 评估内部一致性 (克朗巴赫的α),地板/天花板效应,以及与功能性运动能力,生活质量和心理状态的衡量标准的收有效性.
主要成果:
- 探索性因子分析支持ESE尺度的两因素结构,包括"身体和职业/环境障碍"和"心理社会障碍",解释了56.7%的差异.
- 在ESE尺度表现出良好的内部一致性 (Cronbach的alpha=0.92),没有地板或天花板的影响.
- 在ESE得分和功能性运动能力 (r=0.41),与健康有关的生活质量 (r=-0.53) 和心理状态 (r=-0.63) 之间发现了显著的相关性.
结论:
- 运动自我效能度量 (ESE) 是一种可靠和有效的工具,用于评估COPD患者的自我效能.
- 在这一群体中,ESE分数与功能性炼能力,与健康有关的生活质量和心理状况有中等至强烈的关联.
- 未来的研究应该探索ESE尺度的预测能力,以确定对COPD的非药物治疗方法的坚持.
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