NURSING INTERVENTIONS TO ENHANCE OLDER WOMENS EXERCISE

描述(改编自《调查者摘要》)：运动率 尽管有证据表明锻炼对健康有好处，但老年女性的比例仍然很低。 本项目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)运动与标准指导的理论教育， 以及，(2)提示锻炼与不提示。基于理论的护理 干预教育女性(1)自我效能感信息来源 包括表演掌握，替代表演，生理刺激， 和口头说服；以及(2)关于计划行为信念的理论 承诺、疲劳、时间管理和健康后果 练习。标准指令条件使用典型指令 材料来自美国心脏协会等组织。这个 提示性护理干预包括每周和每两周打电话和 邮寄材料以提示锻炼。测功器和活动日记将 用来考察实验条件对实验结果的影响。 24个月中锻炼和体力活动的反应变量 句号。该项目的次要目标是检查 运动和随后的功能状态的变化与健康相关 生活质量。次要结果变量、功能状态和 与健康相关的生活质量，将用医疗结果来衡量 研究表格36、合作信息项目图表和麦克阿瑟 功能状态量表。双因素析因试验设计 干预前后的重复测量将被用来比较 两种护理干预措施的效果比较。这项研究的主要目标将是 采用两组间重复测量方差分析进行分析 因素(理论教育与标准指导、及时与否 提示)和一个对象内因素(时间)。关于有效性的调查结果 这两种护理干预措施将有助于完善护理策略 增加居住在社区的老年妇女的锻炼。

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.