在接受心脏康复的心理困扰患者中,运动自我有效性对身体活动的影响:随机对照试验的二次数据分析
Viktoria Liv Pollok1, Friederike Thome-Soós1, Dieter Benninghoven2
1Institute for Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
BMC psychology
|February 3, 2026
概括
运动自效率 (ESE) 显著预测心脏康复患者的身体活动. 增强ESE可以改善心理压力的人的炼坚持和结果.
科学领域:
- 心脏病学 心脏病学
- 行为医学是一种行为医学.
- 康复科学 康复科学 康复科学
背景情况:
- 心脏康复旨在改善身体活动等生活方式因素.
- 患者在康复后遵守运动建议的程度往往低于最佳水平.
- 心理压力会进一步阻碍心脏病患者的运动能力.
研究的目的:
- 调查运动自我效能 (ESE) 在体力活动中的作用.
- 检查ESE对心脏康复中心理困扰患者的影响.
主要方法:
- 对305名参加4周心脏康复RCT的数据进行分析.
- 使用运动自效量表来测量ESE.
- 通过持续时间和频率来评估身体活动;统计分析包括相关性,线性回归和混合效应模型.
主要成果:
- 基线ESE显著预测了3个月后的随访身体活动 (p=0.006).
- 随着时间的推移,ESE和体力活动显著增加 (p<0.001两者).
- 在随访时,每增加1点的ESE与身体活动增加12.88分钟相关 (p<0.001).
结论:
- 运动的自我效能显著影响心脏康复患者的身体活动.
- 在设计心脏康复干预时,ESE应该是关键的结果参数.
- 建议在临床实践中进行例行查和针对性策略来增强ESE.
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