Spouse Involvement in Cardiac Patients Behavior Change

尽管越来越多的证据表明，心血管疾病的后果可以通过改变健康和风险行为来减少，即使在老年患者中，心脏病仍在继续降低许多美国人的生活质量并夺走他们的生命。在实证文献中，患者支持网络在促进（或阻碍）行为改变方面的作用越来越受到关注。因此，这项对100名心脏病患者及其配偶的研究探讨了在接受和维持锻炼活动的建议时，对方对支持、控制和破坏交流的个人看法。鉴于运动等健康促进行为在预防心脏病致残方面的已知益处，本研究侧重于运动行为改变的各个阶段和过程的跨理论模型。此外，该项目还在患者家庭的大背景下探索运动行为的改变。鉴于婚姻伴侣对患者的疾病适应有重要影响，本研究调查了夫妻双方的个体行为变化。研究认为，阶段相似性和相应的变化过程所提供的行为改变的共同视角，将通过对运动活动的更多支持、更少控制和更少破坏交流，增强伴侣采取健康维持运动行为的应对协助。拟议项目的目标有三个方面。首先，本研究考察了参加心脏康复计划的患者及其配偶的运动行为的当前阶段和相应的变化过程。其次，它调查了患者和配偶对参与运动行为的支持、控制和破坏交流的个人看法。最后，它测试了个体阶段和相应的变化过程与伴侣的支持、控制和破坏交换的感知之间的关系。

Heart disease continues to diminish the quality and claim the lives of many American despite increasing evidence that the consequences of cardiovascular disease can be reduced through modification of health and risk behaviors, even among older adult patients. The role of the patients' support network in facilitating (or hindering) behavior change has received increasing attention in the empirical literature. Thus, this study of 100 heart disease patients and their spouses explores individual perceptions of supportive, controlling, and undermining exchanges by the other in response to recommendations for adoption and maintenance of exercise activity. In light of the known benefits of health promoting behavior such as exercise in forestalling the disablement of heart disease, this study focuses on the transtheoretical model of individual stages and processes of exercise behavior change. In addition, the proposed project explores exercise behavior change within the larger context of the patient's family. In that marital partners importantly influence patient adjustment to illness, this study investigates individual behavior change of each partner. It is proposed that the shared perspective on behavior change afforded by similarity in stage and corresponding processes of change will enhance partners' coping assistance in adopting health-sustaining exercise behavior through more supportive, fewer controlling and fewer undermining exchanges regarding exercise activity. The aims of the proposed project are threefold. First, this study examines the present stage and correspondent processes of change in the exercise behavior of patients enrolled in a cardiac rehabilitation program and that of their spouses. Second, it investigates individual perceptions of patients and of spouses regarding their supportive, controlling, and undermining exchanges pertaining to engagement in exercise behavior. Last, it tests the relationship between individual stage and corresponding processes of change with perceptions of supportive, controlling, and undermining exchanges of the partner.