Maintaining physical activity following myocardial infarction: a qualitative study.
Maintaining physical activity following myocardial infarction: a qualitative study.
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心肌梗死后维持体力活动：一项定性研究。
DOI：
10.1186/s12872-021-01898-7
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发表时间：
2021-02-18
影响因子：
2.1
通讯作者：
Pugh G
中科院分区：
文献类型：
--
作者：
Coull A;Pugh G
心肌梗死（MI）后的结果通过摄取和维持体力活动（PA）得到改善，但对患者在立即支持（如心脏康复（CR））结束后维持积极生活方式的经验知之甚少。本研究旨在探讨心肌梗塞幸存者对PA的态度和评价，以及长期维持PA的感知障碍、动机和促进因素。对来自英格兰和苏格兰的18名成年人（平均年龄60.5岁，范围37-73岁）进行了半结构化访谈，他们至少在MI后5个月（平均29个月，范围5-122个月）。男性参与者（n = 13，72%）相对多于女性（n = 5，28%）。共有12名（67%）参与者参加了CR。访谈被逐字转录，并使用定性数据分析软件NVivo进行主题分析。数据分析表明，以下四个核心主题影响了MI幸存者对PA的行为和态度：（1）MI作为行为改变的可教时刻，（2）对MI的情感反应：享受与恐惧，（3）对MI的认知反应：自我感知，态度和自我效能，（4）获得支持和资源，包括PA设施和社会支持。参与者强调，缺乏关于CR后保持PA行为改变的可用指导，并且关于运动频率和强度的建议通常不明确和令人困惑。脆弱的感觉和过度劳累的恐惧是显而易见的，影响参与者的自我效能行使。目前的CR方案未能解决PA的信念系统和自我效能的看法行使。针对脆弱感和对过度劳累的恐惧进行干预可能是有益的。提供持续的PA建议和获得社会支持可能有助于患者维持PA的变化。在线版本包含补充材料，可通过10.1186/s12872-021-01898-7获得。
Outcomes following myocardial infarction (MI) are improved by uptake and maintenance of physical activity (PA), but little is understood regarding patients experience of maintaining an active lifestyle once immediate support, such as cardiac-rehabilitation (CR), has ended. The purpose of this study was to investigate MI survivors’ attitude and appraisal towards PA and the perceived barriers, motivators and facilitators for maintaining PA long-term. Semi-structured interviews were carried out with 18 adults (mean age 60.5, range 37–73 years) from England and Scotland, who were a minimum of 5 months post-MI (mean 29 months, range 5–122 months). There were comparatively more male participants (n = 13, 72 %) than female (n = 5, 28 %). Overall 12 (67 %) participants had attended CR. The interviews were transcribed verbatim and thematic analysis was performed using qualitative data analysis software NVivo. Data analysis indicated that the following four core themes influenced MI survivors’ behaviour and attitude towards PA: (1) MI as a teachable moment for behaviour change, (2) affective response to MI: enjoyment versus fear, (3) cognitive response to MI: self-perception, attitude and self-efficacy, and (4) access to support and resources, including PA facilities and social support. Participants highlighted a lack of available guidance on maintaining PA behaviour change following CR and that advice on the frequency and intensity of exercise to follow was often unclear and confusing. Feelings of vulnerability and fear of overexertion were apparent, affecting participants self-efficacy to exercise. Current CR programmes fail to address PA belief systems and perceptions of self-efficacy to exercise. Interventions that address feelings of vulnerability and fear of overexertion may be beneficial. Providing ongoing PA advice and access to social support may facilitate patients to maintain changes in PA. The online version contains supplementary material available at 10.1186/s12872-021-01898-7.
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影响因子：
1.6
作者：
Racodon, M.;Peze, T.;Masson, P.
通讯作者：
Masson, P.
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
2.1
作者：
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通讯作者：
House, Allan
影响因子：
8
作者：
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通讯作者：
Doyle, Lex W.
影响因子：
1.3
作者：
Nicolai, Jennifer;Mueller, Nicole;Bieber, Christiane
通讯作者：
Bieber, Christiane