摘要
目的 探讨脑卒中高危人群体力活动水平及其相关影响因素,为制定相关干预措施提供理论依据。方法 选取2023年4—11月广东省惠州市龙门县某街道292名常住脑卒中高危人群作为研究对象,采用一般资料调查表、国际体力活动问卷-短卷、运动自我效能感量表对其进行问卷调查,并进行相关性分析。结果 高、中、低体力活动水平者能量消耗中位数分别为4 536、2 622、1 428 MET-min/周。高、中、低体力活动水平者活动时间中位数分别为1 140、630、420 min/周。不同体力活动水平者久坐时长中位数为5 h/d。高体力活动水平者能量消耗以步行消耗为主。高体力活动水平者高强度活动、中等强度活动、步行活动时间中位数分别为120、180、840 min/周。不同年龄、职业、家庭人均月收入、心房颤动或瓣膜性心脏病、明显超重或肥胖、运动缺乏、脑卒中家族史调查对象体力活动水平比较,差异有统计学意义(P<0.05)。除“即使没有康复治疗师的帮助,我仍会坚持锻炼”“即使没有专业的锻炼场所和器材,我仍会坚持锻炼”项目外,运动自我效能感量表其余项目评分与总分与体力活动水平显著相关(P<0.01)。运动自我效能感为脑卒中高危人群体力活动水平的危险因素(OR=1.551,P<0.001),家庭人均月收入为脑卒中高危人群体力活动水平的保护性因素(OR=0.484,P<0.05)。结论 惠州市龙门县某街道脑卒中高危人群体力活动水平处于较高水平。在对脑卒中高危人群进行体力活动指导时,广大医务工作者应关注年龄、职业、脑卒中家族史、心房颤动或瓣膜性心脏病等因素对体力活动水平带来的影响,并重点关注运动自我效能感和家庭经济收入因素。
Objective To explore the physical activity level and its related influencing factors in high-risk population of stroke,and to provide a theoretical basis for the development of relevant intervention measures.Methods A total of 292 permanent residents with high-risk of stroke in a street in Longmen County,Huizhou City,Guangdong Province from April to November 2023 were selected as the research objects,and they were investigated by general information questionnaire,international physical activity questionnaire-short volume and sports self-efficacy scale,and the correlation was analyzed.Results The median energy consumption of high,medium and low physical activity levels people were 4536,2622 and 1428 MET-min/week,respectively.The median activity time of high,medium and low physical activity levels people were 1140,630 and 420 min/week,respectively.The median sedentary time of people with different physical activity levels was five h/d.The energy consumption of people with high physical activity level was mainly walking.The median time of high intensity activity,moderate intensity activity and walking activity in high physical activity level people were 120,180 and 840 min/week,respectively.There were statistically significant differences in physical activity levels among respondents of different ages,occupations,family per capita monthly income,atrial fibrillation or valvular heart disease,obvious overweight or obesity,lack of exercise,and family history of stroke(P<0.05).Except for the items of“I will continue to exercise even without the help of rehabilitation therapists”and“I will continue to exercise even without professional exercise places and equipment”,the scores and total scores of other items of the sports self-efficacy scale were significantly correlated with the level of physical activity(P<0.01).Sports self-efficacy was the risk factor of physical activity level in high-risk population of stroke(OR=1.551,P<0.001),and family per capita monthly income was the protective factor of physical activity level in high-risk population of stroke(OR=0.484,P<0.05).Conclusion The physical activity level of the high-risk population of stroke in the street of Longmen County,Huizhou City is at a high level.When conducting physical activity guidance for high-risk population of stroke,the majority of medical workers should pay attention to the impact of age,occupation,family history of stroke,atrial fibrillation or valvular heart disease and other factors on the level of physical activity,and focus on sports self-efficacy and family economic income factors.
作者
杜怡
宋珈名
陈琳亭
谢艺玲
卢慈风
邱华云
DU Yi;SONG Jiaming;CHEN Linting;XIE Yiling;LU Cifeng;QIU Huayun(Medical School of Shaoguan University,Shaoguan,Guangdong 512005,China)
出处
《现代医药卫生》
2025年第6期1429-1435,共7页
Journal of Modern Medicine & Health
基金
2023年广东省科技创新战略专项资金(“攀登计划”专项资金)资助项目(pdjh2023b0480)
2023年度校级科研项目(SY2023SK05)
2023年校级“质量工程”建设项目(韶院教[2023]30号)
2023年校级课程思政建设项目(韶院党政办[2023]16号)。
关键词
脑卒中
高危人群
体力活动
自我效能
Stroke
High-risk population
Physical activity
Self-efficacy
