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【目的】探讨提升自我效能在慢性心力衰竭（CHF）患者运动康复过程中的作用。【方法】将142例CHF患者随机分为观察组和对照组，每组各71例；对照组接受常规的药物治疗和运动康复，观察组在此基础上接受提升自我效能的干预措施。分别在患者出院后的6周和12周时评价其自我效能、运动依从性和6 m in步行实验距离。两组均随访12个月，比较再次因C H F住院率和死亡率。【结果】观察组患者出院后12周内的自我效能、运动依从性明显提升（P ＜00．5），6min步行实验距离明显增加（P ＜00．5）；对两组患者随访12个月，随访期间再次因CHF住院率观察组低于对照组（ P ＜00．5），两组死亡率比较，差异无统计学意义（ P ＞00．5）。【结论】在CHF患者运动康复中提升个体的自我效能感，能提高患者运动依从性，降低再次CHF住院率。“,”Objective]The objective is to study and to increase the effects of exercise rehabilitation training in impro‐ving self‐efficacy in patients with chronic heart failure (CHF) .[Methods]142 patients with CHF were randomly divided into the observation group and the control group ,with 71 patients in each .Patients in the control group only received rou‐tine drug therapy and sports rehabilitation ,while patients in the observation group were given self‐efficacy interventions in addition to routine drug therapy and sports rehabilitation .Their self‐efficacy scores ,exercise adherence ,and 6 minute walking distance were evaluated at 6 weeks and 12 weeks after discharge .In addition ,their re‐hospitalization and mortality rates were compared after 12 months[.Results]Within 12 weeks after discharge ,the self‐efficacy scores ,exercise adher‐ence ,and 6 minute walking distance of patients in the observation group increased with statistical significance ( P <0 0.5) .Over 12 months ,the re‐hospitalization rate in the observation group was lower than in the control group ( P 0 0.5) .[Conclusion]The application of self‐efficacy theory in exercise rehabilitation training in patients with chronic heart failure can improve their adherence to exercise as well as decrease therate of re‐hospitalization .