Efficacy Of Baduanjin Exercise On Self-efficacy Of Community Cardiovascular Patients

Objective: This study was to guide the community dwelling cardiovascular disease patients to perform BaDuanJin(BDJ),to explore its influence on self-efficacy in patients with Cardiovascular Disease(CVD).Methods: Convenient sampling and randomized group were employed in research design.66 CVD volunteers screened from the Community Health Service Station were enrolled as BDJ group,while 63 CVD individuals were employed as control group who did not change their usual exercising.All subjects were encouraged to persist 16 weeks of continuing exercising no matter in which group.Chronic Disease Management Self-Efficacy(CDMSE)scalewas used to evaluate self-efficacy.Statistical comparasion was performed before and after exercising BDJ,and between BDJ group and the control group after the intervention.Excle 2003 and SPSS19.0 packages were used for data entry and statistics analysis.Descriptive statistical analysis and parameters(non-parameters)test were employed.Chi-square test was conducted between the two groups to test proportionality.Paired t test was performed to test the difference of scores of chronic disease management self-efficacy before and after intervention;independent sample t test was conducted to test the difference between the BDJ group and the control group.Results:1 129 CVD individuals were recruited in this study.65.1%(84/129)of the patients was 65 years old or older,79.1% patients' education level were primary and elementary school level.Family per capita income of 68.2% was below 2000 RMB.2 Before intervention,average general self-efficacy score in 129 subjects 2.39±0.17,which is lower than the reported normal population.Beforeinterventin,the highest CDMSE score was 8.15,and the lowest 4.91,with 6.56±0.54 on average.99 subjects CDMSE total scores were less than 7,which covered 76.7% of the whole sample groups.3 Comparision of CDMSE before and after 16 weeks of intervention showed that scales of the total CDMSE and the subscales improved with statistical significance.After intervention,compared with control group the total score of CDMSE and scores of subscales " confidence to control fatigue "," confidence to control depressive mood "," confidence to control health problems " and "confidence of taking self-care behavior" were statistically higher in BDJ group.While improvement of "confidence to control discomforts and pain" is not statistically significant.Conclusions:1 Community dweling CVD patients' general self-efficacy level is lower than that of normal individuals,most of the sample individuals' CDMSE scores were less than 7,and need further intervention.2 BDJ is Traditional Chinese Medicine exercise to keep good health.It is relatively easy to learn,not economic spending,not limited by space,and popular in mass exercising.Long-term,regular exercising BDJ can effectively improve chronic disease management self efficacy of community dwelling CVD patientss.