本文選題：運(yùn)動(dòng)變化階段 + 運(yùn)動(dòng)改變方法�。� 參考：《杭州師范大學(xué)》2017年碩士論文

【摘要】：目的:了解血脂異�；颊哌\(yùn)動(dòng)階段現(xiàn)狀及影響因素并評(píng)價(jià)與階段相匹配的干預(yù)措施在改變血脂異常患者運(yùn)動(dòng)行為中的應(yīng)用效果。方法:運(yùn)用量性調(diào)查和類實(shí)驗(yàn)研究相結(jié)合的研究方法。應(yīng)用便利抽樣調(diào)查方法對(duì)杭州市某社區(qū)符合研究標(biāo)準(zhǔn)的204名患者運(yùn)動(dòng)階段現(xiàn)況及影響因素進(jìn)行調(diào)查。在現(xiàn)狀調(diào)查的基礎(chǔ)上,選擇處于前意向階段、意向階段和承諾階段的80名患者,隨機(jī)分為干預(yù)組40例和對(duì)照組40例進(jìn)行類實(shí)驗(yàn)研究。干預(yù)組接受血脂異常健康教育和與運(yùn)動(dòng)階段相匹配的干預(yù)措施;對(duì)照組接受血脂異常健康教育、WHO公布《關(guān)于身體活動(dòng)有益健康的全球建議》和每月一次電話隨訪。干預(yù)前、干預(yù)后分別收集運(yùn)動(dòng)變化階段、運(yùn)動(dòng)改變方法、運(yùn)動(dòng)決策平衡、運(yùn)動(dòng)自我效能、運(yùn)動(dòng)量、身體形態(tài)指標(biāo)和生化指標(biāo)等數(shù)據(jù)資料。結(jié)果:1.本研究共調(diào)查了204名血脂異�；颊�,因部分患者中途退出調(diào)查,共回收問(wèn)卷185份,回收率為90.69%;其中有效問(wèn)卷175份,有效率為94.59%。處于前意向階段、意向階段、行動(dòng)階段、維持階段分別為49人、38人、35人、20人、33人,各占28.0%、21.7%、20.0%、11.4%、18.9%。2.不運(yùn)動(dòng)組人數(shù)占69.7%,運(yùn)動(dòng)組人數(shù)占30.3%。3.運(yùn)動(dòng)階段與近半年內(nèi)是否有過(guò)運(yùn)動(dòng)、血脂異常確診時(shí)間、是否服藥、合并慢性病種類有統(tǒng)計(jì)學(xué)差異(P0.05)。4.各種運(yùn)動(dòng)改變方法(自我再評(píng)價(jià)、環(huán)境再評(píng)價(jià)、替代行為、社會(huì)解放、刺激控制、強(qiáng)化管理、自我解放)在各運(yùn)動(dòng)階段的使用頻率有統(tǒng)計(jì)學(xué)差異(P0.05);運(yùn)動(dòng)決策平衡(自覺(jué)運(yùn)動(dòng)利益、自覺(jué)運(yùn)動(dòng)障礙)、運(yùn)動(dòng)自我效能與運(yùn)動(dòng)階段存在統(tǒng)計(jì)學(xué)差異(P0.05)。5.多元Logistic回歸結(jié)果顯示,自覺(jué)運(yùn)動(dòng)利益、替代行為、半年內(nèi)是否有過(guò)運(yùn)動(dòng)等3個(gè)變量進(jìn)入回歸方程,這3個(gè)變量可解釋運(yùn)動(dòng)變化階段總變異的76%(R2=76)。6.干預(yù)后,對(duì)照組與干預(yù)組的運(yùn)動(dòng)階段組間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);兩組在運(yùn)動(dòng)改變方法(意識(shí)覺(jué)醒、情緒緩釋、自我再評(píng)價(jià)、社會(huì)解放、替代行為、強(qiáng)化管理、自我解放、刺激控制)的使用頻率方面,組間差異有統(tǒng)計(jì)學(xué)意義(P0.05);兩組在運(yùn)動(dòng)自我效能、運(yùn)動(dòng)決策平衡、輕度運(yùn)動(dòng)、中度運(yùn)動(dòng)、運(yùn)動(dòng)行為總得分方面,組間差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.大部分血脂異常患者意識(shí)到運(yùn)動(dòng)的重要性,但真正采取運(yùn)動(dòng)行為的患者只有三分之一。2.血脂異常患者運(yùn)動(dòng)階段受血脂異常診斷年限、用藥、合并慢性病種類、近半年內(nèi)是否有過(guò)運(yùn)動(dòng)、自覺(jué)運(yùn)動(dòng)利益、替代行為等因素影響,其中自覺(jué)運(yùn)動(dòng)利益、替代行為、近半年內(nèi)是否有過(guò)運(yùn)動(dòng)是影響患者運(yùn)動(dòng)階段轉(zhuǎn)變的重要因素,可預(yù)測(cè)患者運(yùn)動(dòng)階段轉(zhuǎn)變的方向,且預(yù)測(cè)率較高。3.基于行為轉(zhuǎn)變理論的運(yùn)動(dòng)行為干預(yù)能有效提高血脂異�；颊咻p度運(yùn)動(dòng)量、中度運(yùn)動(dòng)量,且效果優(yōu)于常規(guī)的運(yùn)動(dòng)行為干預(yù)。4.基于行為轉(zhuǎn)變理論的運(yùn)動(dòng)行為干預(yù)能提高血脂異�；颊叩倪\(yùn)動(dòng)改變方法使用頻率、運(yùn)動(dòng)自我效能、自覺(jué)運(yùn)動(dòng)利益,幫助其降低自覺(jué)運(yùn)動(dòng)障礙,且效果優(yōu)于常規(guī)的運(yùn)動(dòng)行為干預(yù)。5.兩種干預(yù)措施均能幫助血脂異�；颊呖刂企w重、BMI、血脂指標(biāo),但干預(yù)效果相當(dāng)。
[Abstract]:Objective: to understand the status and influencing factors of dyslipidemia patients' movement stage and to evaluate the effect of the intervention measures matched with phase in the exercise behavior of patients with dyslipidemia. Methods: the method of combining quantitative investigation and experimental study was used. The convenience sampling method was applied to a community in Hangzhou. The current status and influencing factors of 204 patients were investigated. On the basis of the current situation, 80 patients were randomly divided into 40 cases and 40 cases in the control group, which were in the pre intention stage, intention stage and commitment stage. The intervention group accepted the abnormal health education of blood lipid and the match with the exercise stage. In the control group, the control group received abnormal health education for blood lipids, WHO published the global recommendations about physical activity and health, and a monthly telephone follow-up. Before the intervention, the exercise changes, exercise change methods, exercise decision-making balance, exercise self-efficacy, exercise volume, body shape index and biochemical indexes were collected. Results: 1. a total of 204 dyslipidemia patients were investigated in this study. A total of 185 copies of a total of 185 questionnaires were returned from the survey, with a total recovery of 90.69%, of which 175 effective questionnaires were in the pre intentional phase of 94.59%., the intention stage, the action stage, and the maintenance stage were 49, 38, 35, 20, 33, each accounted for 28%, 21.7%, 20%, 1. 1.4%, the number of 18.9%.2. non sports group accounted for 69.7%, the number of sports group accounted for the movement of 30.3%.3. and in the near half a year, the time of the diagnosis of abnormal blood lipid, whether to take medicine, and the types of chronic diseases with statistical difference (P0.05).4. various exercise methods (self reevaluation, environmental reevaluation, substitution behavior, social liberation, stimulation control, strong control, and strong control, and strong control, and strong control, strong The frequency of use of chemical management and self liberation has statistical difference (P0.05) in each stage of exercise; the balance of sports decision-making (self-conscious exercise interest, self-conscious movement obstacle), sports self-efficacy and movement stage there are statistical differences (P0.05).5. multiple Logistic regression results show, self-conscious exercise interest, substitution behavior, half a year if there is any exercise and so on The 3 variables entered the regression equation. These 3 variables could explain the prognosis of the 76% (R2=76).6. of the total variation in the stage of motion change. There was no statistical difference between the control group and the intervention group (P0.05). The two groups were in the exercise change methods (consciousness, emotion release, self reevaluation, social liberation, substitution behavior, intensive management, self liberation). There was significant difference between groups (P0.05) in the frequency of use of stimulus control. The difference between the two groups was statistically significant (P0.05) in the aspects of exercise self-efficacy, exercise decision-making balance, mild exercise, moderate exercise and total exercise behavior (P0.05). Conclusion: the importance of exercise was realized in the 1. major hyperlipidemia patients, but the real exercise was taken. Only 1/3.2. patients with dyslipidemia were affected by abnormal blood lipid diagnosis, medication, combined with chronic diseases, whether there was exercise in the near half a year, exercise interest, substitution behavior and other factors. The important factors of change can predict the direction of the change of the patient's movement stage, and the predictive rate is high. The exercise behavior intervention based on the behavioral change theory.3. can effectively improve the mild exercise, moderate exercise, and the effect is better than the routine exercise intervention.4.. The exercise behavior intervention based on the transition theory can improve the blood lipid. Abnormal patients' motion change methods use frequency, exercise self-efficacy, self-conscious exercise benefit, help them reduce self-conscious exercise disorder, and the effect is better than routine exercise intervention.5. two intervention measures can help blood lipid abnormality control weight, BMI, blood lipid index, but the intervention effect is quite.
【學(xué)位授予單位】：杭州師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.5
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本文編號(hào)：2005790