Effect of exercise intervention based on the transtheoretical model on sedentary behavior in elderly patients with stroke
10.3760/cma.j.cn115682-20250318-01345
- VernacularTitle:基于跨理论模型的运动干预对老年脑卒中患者久坐行为的影响研究
- Author:
Siqian LI
1
;
Kongyan ZHANG
;
Yanan LIU
;
Shengnan GAO
Author Information
1. 安徽医科大学附属阜阳医院老年医学科，阜阳 236000
- Publication Type:Journal Article
- Keywords:
Stroke;
Aged;
Sedentary behavior;
Transtheoretical model;
Exercise intervention
- From:
Chinese Journal of Modern Nursing
2025;31(35):4816-4821
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effect of exercise intervention based on the transtheoretical model on sedentary time and exercise adherence in elderly patients with stroke.Methods:A convenience sample of 60 elderly patients with stroke who visited Fuyang Hospital Affiliated to Anhui Medical University and were registered in community health records between December 2023 and August 2024 was recruited. Participants were randomly assigned to the intervention group ( n=30) and control group ( n=30). The intervention lasted 28 weeks. The control group received standardized home-based exercise program, while the intervention group received exercise intervention based on the transtheoretical model. Sedentary time, exercise adherence, and exercise self-efficacy were assessed before intervention, at week 16, and at week 28. Results:A total of 28 participants in each group completed the study. Sedentary time in the intervention group showed a continuous downward trend over the intervention period and was significantly lower than that in the control group at weeks 16 and 28 ( P<0.05). Exercise adherence in the intervention group was significantly higher at week 28 ( P<0.001). Exercise self-efficacy was significantly higher at week 16 and further improved at week 28 compared with the control group ( P<0.05) . Conclusions:An exercise intervention program designed based on the transtheoretical model can effectively reduce sedentary time, improve exercise adherence, and enhance exercise self-efficacy in elderly patients with stroke.
