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首页> 外文学位 >A nurse-coached exercise program to increase muscle strength, improve quality of life, and increase self-efficacy in people with tetraplegic spinal cord injuries.
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A nurse-coached exercise program to increase muscle strength, improve quality of life, and increase self-efficacy in people with tetraplegic spinal cord injuries.

机译：护士指导的锻炼计划，可以增加四肢瘫痪脊髓损伤患者的肌肉力量，改善生活质量并提高自我效能。

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摘要

A nurse-coached exercise intervention was conducted over a period of two years in a community based YMCA, using specialized equipment adapted for people with tetraplegic spinal cord injuries. Ten people with tetraplegic spinal cord injuries participated in the study, each completing three three-hour nurse-coached exercise sessions a week over a period of six months.;The purpose of the study was to determine what effects a nurse-coached exercise intervention would have ob muscle strength, self-reported self-efficacy, and quality of life. Results of the Manual Muscle Test (MMT), Moorong Self-Efficacy Scale (MSES), and Catz-Itzkovich Spinal Cord Independence Measures (CI-SCIM), the dependent variables, were collected at baseline (twice), and at three months into the intervention and at six months, which was the conclusion of the intervention.;The Sheehy Spinal Cord Injury Functional Improvement Via Exercise (SCI-FIVE) Model was constructed prior to the study and validated throughout the course of the study. Components of the SCI-FIVE Model include the spinal cord injured person, the nurse-coach, the exercise intervention in a community environment, and the presence of others with spinal cord injuries participating in the study who would provide encouragement and opportunities for vicarious learning. The expectations of the model were that, as muscle strength increased, functional ability would improve, resulting in greater independence, a higher sense of self-efficacy, and a higher quality of life.;Research question ;The answer to research question ;The subscale Mobility results supports the efficacy of the intervention. R-ANOVA indicated significant changes over time (F(3,27), = 8.6, p.0001; Friedman's = 23.3, p.0001). The subscale Respiratory and Sphincter Management results did not support the efficacy of the intervention. There were no statistically significant changes over time (p=.11).;The MSES was used to assess changes in self-reported self-efficacy in response to RQ ;The results of this study validated all components of the Sheehy SCI-FIVE Model and demonstrated increased muscle strength, increased self-efficacy, and improved quality of life for the ten study participants who participated in a nurse-coached program of exercise for people with tetraplegic SCI.
机译：在社区YMCA社区进行了为期两年的护士指导的运动干预，使用了适合四肢瘫痪脊髓损伤患者的专用设备。十名四肢瘫痪脊髓损伤患者参加了该研究，每个人在六个月的时间内每周完成三个三小时的护士指导的运动课。该研究的目的是确定护士指导的运动干预会产生什么影响具有ob肌肉力量，自我报告的自我效能感和生活质量。在基线（两次）和三个月后收集了人工变量肌肉测试（MMT），Moorong自我效能感量表（MSES）和Catz-Itzkovich脊髓独立性指标（CI-SCIM）的结果。在干预后六个月，这是干预的结论。；在研究之前构建了Sheehy运动损伤脊髓功能改善（SCI-FIVE）模型，并在整个研究过程中进行了验证。 SCI-FIVE模型的组成部分包括脊髓损伤者，护士教练，在社区环境中进行运动干预以及其他参与研究的脊髓损伤者，它们将为替代学习提供鼓励和机会。该模型的期望是，随着肌肉力量的增加，功能能力将提高，从而导致更大的独立性，更高的自我效能感和更高的生活质量。；研究问题；研究问题的答案；分量表流动性结果支持干预的有效性。 R-ANOVA表示随时间发生显着变化（F（3,27），= 8.6，p <.0001; Friedman's = 23.3，p <.0001）。呼吸和括约肌管理的次级量表结果不支持干预的有效性。随着时间的推移，没有统计学上的显着变化（p = .11）。；使用MSES评估了对RQ的自我报告自我效能的变化；这项研究的结果验证了Sheehy SCI-FIVE模型的所有组成部分并展示了参加四肢瘫痪SCI患者的护士指导运动计划的十名研究参与者的肌肉力量，自我效能提高和生活质量的改善。

著录项

  • 作者

    Sheehy, Susan B.;

  • 作者单位

    Boston College.;

  • 授予单位 Boston College.;
  • 学科 Health Sciences Rehabilitation and Therapy.;Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 305 p.
  • 总页数 305
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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