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目的:评价跨理论模型促进居家运动方案实施情况的效果。方法:抽取2013年10月至2015年4月在北京协和医院门诊就诊的稳定期慢性阻塞性肺疾病(COPD)患者共120名为研究对象,按照就诊日期分为干预组(n=61)和对照组(n=59)。对照组接受一对一居家运动宣教,干预组在宣教的基础上进行基于跨理论模型(TTM)的随访,持续8周。结果:干预组在行为改变过程的认知层面和行为层面、决策平衡利益因子和自我效能方面的得分均优于对照组,而障碍因子得分则显著低于对照组,居家运动行为阶段优于对照组(P<0.05)。结论:基于跨理论模型的居家运动方案能够提高患者对居家运动的参与度。
Objective: To evaluate the effectiveness of cross-theoretical model to promote home exercise program. Methods: Totally 120 patients with stable COPD who were treated at Peking Union Medical College Hospital from October 2013 to April 2015 were selected and divided into intervention group (n = 61) and control group Control group (n = 59). The control group received one-on-one home movement education, and the intervention group conducted follow-up based on the mission-based cross-theoretical model (TTM) for 8 weeks. Results: The intervention group had better scores in the cognitive and behavioral aspects of behavioral change, decision-making of the balanced interest and self-efficacy than the control group, while the score of the obstacle factor was significantly lower than that of the control group Group (P <0.05). CONCLUSIONS: Home-based exercise programs based on a cross-theoretical model can improve patient participation in home-based activities.