PDF(Pubmed)
Abstract：
BACKGROUND: Insufficient exercise affects the health of patients who have implantable cardioverter defibrillators (ICD). The purpose of this study was to investigate the correlations between exercise self-efficacy (ESE) and its associated psychological factors in ICD recipients.
METHODS: This cross-sectional study included individuals who had undergone ICD implantation at the cardiology department of a medical centre in Taiwan. A face-to-face survey was conducted. The survey questionnaire included questions regarding the participants\' demographics, perceived health (PH), ICD shock-related anxiety (ICD-SRA), self-care self-efficacy (SSE), perceived exercise benefit (PE-benefit), perceived exercise barrier (PE-barrier), and ESE. Data were analysed using SPSS 20.0 Software. Stepwise multiple regression analyses were also performed to evaluate the predictive effects of the aforementioned factors on ESE.
RESULTS: A total of 52 ICD recipients were enrolled. ESE was negatively correlated with ICD-SRA (r = -0.511; p < 0.01) and PE-barrier (r = -0.563; p < 0.01), but positively correlated with SSE (r = 0.339; p < 0.05) and PE-benefit (r = 0.464; p < 0.01). The stepwise multiple regression analysis revealed that PE-barrier, PE-benefit, and ICD-SRA effectively predicted ESE in the participants.
CONCLUSIONS: ESE may be improved by overcoming PE-barrier, ICD-SRA and enhancing PE-benefit. Consequently, improving ESE may enhance the health benefits of exercise.
METHODS: This cross-sectional study included individuals who had undergone ICD implantation at the cardiology department of a medical centre in Taiwan. A face-to-face survey was conducted. The survey questionnaire included questions regarding the participants\' demographics, perceived health (PH), ICD shock-related anxiety (ICD-SRA), self-care self-efficacy (SSE), perceived exercise benefit (PE-benefit), perceived exercise barrier (PE-barrier), and ESE. Data were analysed using SPSS 20.0 Software. Stepwise multiple regression analyses were also performed to evaluate the predictive effects of the aforementioned factors on ESE.
RESULTS: A total of 52 ICD recipients were enrolled. ESE was negatively correlated with ICD-SRA (r = -0.511; p < 0.01) and PE-barrier (r = -0.563; p < 0.01), but positively correlated with SSE (r = 0.339; p < 0.05) and PE-benefit (r = 0.464; p < 0.01). The stepwise multiple regression analysis revealed that PE-barrier, PE-benefit, and ICD-SRA effectively predicted ESE in the participants.
CONCLUSIONS: ESE may be improved by overcoming PE-barrier, ICD-SRA and enhancing PE-benefit. Consequently, improving ESE may enhance the health benefits of exercise.
摘要：
背景：运动不足会影响植入心脏复律除颤器（ICD）患者的健康。目的探讨ICD受者运动自我效能感(ESE)与其相关心理因素的相关性。
方法：这项横断面研究包括在台湾一家医疗中心心脏科接受ICD植入的个体。进行了面对面的调查。调查问卷包括关于参与者的人口统计问题，感知健康(PH)，ICD休克相关焦虑（ICD-SRA），自我护理自我效能感(SSE)，感知运动收益(体育收益)，感知运动障碍(PE障碍)，还有ESE.数据采用SPSS20.0软件进行分析。还进行了逐步多元回归分析，以评估上述因素对ESE的预测作用。
结果：共纳入52名ICD接受者。ESE与ICD-SRA(r=-0.511;p<0.01)和PE-barrier(r=-0.563;p<0.01)呈负相关,但与SSE（r=0.339；p<0.05）和PE获益（r=0.464；p<0.01）呈正相关。逐步多元回归分析显示，PE障碍，PE-benefit,ICD-SRA有效地预测了参与者的ESE。
结论：ESE可以通过克服PE障碍来改善，ICD-SRA和提高PE效益。因此,改善ESE可以增强运动的健康益处。
方法：这项横断面研究包括在台湾一家医疗中心心脏科接受ICD植入的个体。进行了面对面的调查。调查问卷包括关于参与者的人口统计问题，感知健康(PH)，ICD休克相关焦虑（ICD-SRA），自我护理自我效能感(SSE)，感知运动收益(体育收益)，感知运动障碍(PE障碍)，还有ESE.数据采用SPSS20.0软件进行分析。还进行了逐步多元回归分析，以评估上述因素对ESE的预测作用。
结果：共纳入52名ICD接受者。ESE与ICD-SRA(r=-0.511;p<0.01)和PE-barrier(r=-0.563;p<0.01)呈负相关,但与SSE（r=0.339；p<0.05）和PE获益（r=0.464；p<0.01）呈正相关。逐步多元回归分析显示，PE障碍，PE-benefit,ICD-SRA有效地预测了参与者的ESE。
结论：ESE可以通过克服PE障碍来改善，ICD-SRA和提高PE效益。因此,改善ESE可以增强运动的健康益处。
