摘要
目的了解2型糖尿病患者运动自我效能的潜在类别,分析其与体力活动行为阶段的关系,为制订针对性干预措施提供参考。方法采用一般资料调查表、运动自我效能量表、国际体力活动问卷和体力活动阶段算法对315例2型糖尿病患者进行调查。采用潜在剖面分析对运动自我效能进行特征分类,通过有序logistic回归分析体力活动行为阶段的影响因素。结果患者运动自我效能得分45.52±19.78,运动自我效能分为4个类别,高组、中高组、中低组、低组分别占18.1%、30.1%、34.0%和17.8%。糖尿病病程和自我效能潜在类别是体力活动变化阶段的影响因素(均P<0.05)。结论运动自我效能是体力活动行为阶段的重要预测因子,应根据患者自我效能类别给予针对性干预。
Objective To identify the latent classes of exercise self-efficacy in patients with type 2 diabetes mellitus(T2DM), to analyze its relation with physical activity behavior stage, and to provide reference for developing targeted intervention. Methods A total of 315 T2DM patients were investigated using a demographic data questionnaire, the Exercise Self-efficacy Scale, the International Physical Activity Questionnaire, and a stage algorithm measuring the Four steps from Inactivity to activity Theory(FIM Model). Latent profile analysis was performed to identify patterns of exercise self-efficacy and ordinal logistic regression was used to determine the predictors of physical activity behavior stage. Results The participants reported 45.52±19.78 on exercise self-efficacy. The best model consisted of 4-classes: high exercise self-efficacy(class 1:18.1%), moderate to high exercise self-efficacy(class 2:30.1%), low to moderate exercise self-efficacy(class 3:34.0%), and low exercise self-efficacy(class 4:17.8%). Duration of diabetes and patterns of exercise self-efficacy were the influencing factors of stage of physical activity behavior change(both P<0.05). Conclusion Exercise self-efficacy is an important predictor of physical activity behavior stage, high lighting the need to tailor interventions based on patient′s distinct type of exercise self-efficacy.
作者
刘林
阚吟诗
李翔宁
房丽
张瑜
Liu Lin;Kan Yinshi;Li Xiangning;Fang Li;Zhang Yu(School of Nursing and School of Public Health,Yangzhou University,Yangzhou 225009,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第4期23-27,共5页
Journal of Nursing Science
基金
2020年扬州市科技计划项目(YZ2020095)
2021年江苏省人兽共患病学重点实验室“护馨基金”项目(HX2106)。
关键词
2型糖尿病
体力活动
运动
自我效能
潜类别
潜在剖面分析
影响因素
type 2 diabetes mellitus
physical activity
exercise
self-efficacy
latent class
latent class analysis
inflencing factor
