NURSING INTERVENTIONS TO ENHANCE OLDER WOMENS EXERCISE

描述（改编自研究者摘要）：运动率 尽管有记录表明锻炼有益于健康，但老年妇女的健康率仍然很低。 本课题的主要目的是比较两种护理方法的效果 旨在增加社区老年人锻炼的干预措施 女性：（1）运动理论教育与标准教学， 以及（2）提示锻炼与不提示。 理论护理 干预教导妇女（1）自我效能信息的来源 包括表演掌握，替代表演，生理刺激， 和口头说服;和（2）计划行为信念理论， 承诺，疲劳，时间管理和健康后果 演习 标准指令条件采用典型指令 来自美国心脏协会等组织的材料。 的 提示护理干预包括每周和每两周一次的电话， 邮寄材料提示练习。 测力计和活动日记将 用于检查实验条件对 24个月期间运动和体力活动的反应变量 期 本项目的第二个目的是研究 运动和随后的功能状态的变化以及与健康相关的 生活质量 次要结局变量，功能状态和 健康相关的生活质量，将通过医学结局进行测量 研究表格36，合作信息项目图表和麦克阿瑟 功能状态量表。 双因素析因实验设计， 干预前后的重复测量将用于比较 两种护理干预的效果。 这项研究的主要目的是 使用重复测量方差分析进行分析，两组间 因素（理论教育与标准教学，及时与不及时） 提示）和受试者内因素（时间）。 关于有效性的结论 这两种护理干预措施将有助于完善护理策略， 增加社区老年妇女的锻炼。

DESCRIPTION (Adapted from the Investigator's Abstract): Exercise rates among older women remain low despite documented health benefits of exercise. This project's primary aim is to compare the efficacy of two nursing interventions designed to increase exercise among community-dwelling older women: (1) theory-based education on exercise vs. standard instruction, and, (2) prompts to exercise vs. no prompts. The theory-based nursing intervention teaches women (1) sources of self-efficacy information including performance mastery, vicarious performance, physiological stimuli, and verbal persuasion; and (2) theory of planned behavior beliefs about commitment, fatigue, time management, and the health consequences of exercises. The standard instruction condition uses typical instruction materials from organizations such as American Heart Association. The prompting nursing intervention includes weekly and biweekly phone calls and mailed materials to prompt exercise. Ergometers and activity diaries will be used to examine the effects of the experimental conditions on the response variables of exercise and physical activity during a 24-month period. This project's secondary aim is to examine the relationship between changes in exercise and subsequent functional status and health-related quality of life. The secondary outcome variables, functional status and health-related quality of life, will be measured with the Medical Outcomes Study Form 36, the Cooperative Information Project charts, and the MacArthur functional status scales. A two way factorial experimental design with repeated measures pre-and post-intervention will be used to compare the effects of the two nursing interventions. The study's primary aim will be analyzed using repeated measures analysis of variance with two between-group factors (theory-based education vs. standard instruction and prompt vs. no prompt) and one within-subject factor (time). Findings on the effectiveness of these two nursing interventions will help refine nursing strategies for increasing exercise among community-dwelling older women.