脑卒中康复患者运动意向的结构方程建模：一项横断面研究
Structural equation modeling of exercise intention in patients recovering from stroke: a cross-sectional study.
摘要(中文译文)
探讨通过构建综合因果模型来研究脑卒中后人群运动意图的影响因素。本研究首次运用健康行动过程取向（HAPA）理论和结构方程模型来考察脑卒中后人群运动意图的影响因素。数据收集自299名脑卒中后患者。采用运动获益/障碍量表（EBBS）评估运动的感知获益与感知障碍。采用运动自我效能量表评估运动自我效能。采用运动意图量表评估运动意图。脑卒中后人群的EBBS得分为（112.54 ± 13.67）分；运动自我效能得分为（41.68 ± 10.95）分；运动意图得分为（14.41 ± 3.48）分。EBBS总分与运动自我效能总分及运动意图总分均呈正相关（r = 0.623，0.681，均P < 0.05），运动自我效能总分与运动意图总分呈正相关（r = 0.646，P < 0.05）。结构方程模型显示存在若干因果路径。运动的感知障碍通过运动自我效能对运动意图产生间接效应（β = -0.183，95% CI -0.286至-0.101，P < 0.05）。运动的感知获益不仅直接影响运动意图（β = 0.246，95% CI 0.073至0.424，P < 0.05），还通过运动自我效能间接影响运动意图（β = 0.152，95% CI 0.084至0.231，P < 0.05）。此外，运动的感知获益与感知障碍之间存在相互负向影响（β = -0.681，P < 0.05）。脑卒中后人群的运动感知获益与感知障碍、运动意图及运动自我效能水平均需改善。其中，运动自我效能对运动意图的影响最为显著。因此，应关注并采取积极措施提高该人群的运动自我效能，从而增强其运动意图并降低复发风险。
Abstract
To investigate the factors influencing exercise intention among the people after stroke by developing a comprehensive causal model. This study is the first to examine the factors influencing exercise intention among people after stroke using the Health Action Process Approach (HAPA) theory and structural equation modeling. Data were collected from 299 people after stroke. Perceived benefits and barriers to exercise were evaluated with the Exercise Benefits/Barriers Scale (EBBS). Exercise self-efficacy was assessed using the Exercise self-efficacy scale. Exercise intention was assessed using the Exercise Intention Scale. People after stroke's EBBS score was (112.54 ± 13.67); exercise self-efficacy score was (41.68 ± 10.95); and exercise intention score was (14.41 ± 3.48). The total score of EBBS was positively correlated with the total score of exercise self-efficacy and the total score of exercise intention (r = 0.623, 0.681, both P < 0.05), and the total score of exercise self-efficacy was positively correlated with the total score of exercise intention (r = 0.646, P < 0.05). Structural equation modeling showed several causal pathways. Perceived barriers to exercise had an indirect effect on exercise intentions through exercise self-efficacy (β = -0.183, 95% CI -0.286 to -0.101, P < 0.05). Perceived benefits to exercise not only directly affected exercise intentions (β = 0.246, 95% CI 0.073 to 0.424, P < 0.05), but also indirectly affected exercise intentions through exercise self-efficacy (β = 0.152, 95% CI 0.084 to 0.231, P < 0.05). Additionally, perceived benefits and perceived barriers to exercise negatively influenced each other (β = -0.681, P < 0.05). The perceived benefits and barriers to exercise, exercise intention and exercise self-efficacy level of people after stroke need to be improved. Among them, the influence of exercise self-efficacy on exercise intention is the most significant. Consequently, attention and active measures should be directed toward improving exercise self-efficacy in this population, as this would increase their exercise intention and reduce the risk of relapse.
如何引用
AMA
Yutong Gao, Lili Zhu, Junmei Zhang, Rongxun Liu. Structural equation modeling of exercise intention in patients recovering from stroke: a cross-sectional study.. Scientific reports. 2026; doi:10.1038/s41598-026-60624-5.
APA
Yutong Gao, Lili Zhu, Junmei Zhang, Rongxun Liu (2026). Structural equation modeling of exercise intention in patients recovering from stroke: a cross-sectional study.. Scientific reports. https://doi.org/10.1038/s41598-026-60624-5
GB/T 7714
Yutong Gao, Lili Zhu, Junmei Zhang, Rongxun Liu. Structural equation modeling of exercise intention in patients recovering from stroke: a cross-sectional study.[J]. Scientific reports, 2026 doi:10.1038/s41598-026-60624-5.
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