| [Objective] In recent years, the morbidity and mortality of coronary heart disease have risen dramatically. Relevant studies have indicated that the development of the disease is closely related to life styles, what’s more, the motivation of health behaviors is an important factor which effect health behaviors, researches related to the motivation of health behaviors have attracted the attention of scholars in China gradually.During this study,we introduced Geoffrey C. Williams’s Treatment Self-Regulation Questionnaire from England,and through stopping smoking,physcial activity and health eating to complete the metrological test for the Chinese version of TSRQ,tried to provide scientific and reliable tools for related research in the future. At the same time, the convenience sampling method was used to investigate the motivation levels of stopping smoking, physical activity and health eating of patients with CHD.We analyzed and discussed their influential factors, aiming to make feasible interventions program proposals for improving the motivation levels of stopping smoking, physical activity and health eating,then to help patients with coronary heart disease to establish a healthy lifestyle and improve their quality of life.[Methods]1、Through literature review, we described the progress and research issues of health behavior motivation from home and abroad, summarized the relevant researches situations and development directions, to explore the theoretical basis of the behavior motivations of patients with coronary heart disease.2、Reviewed assessment tools of health behavior motivation in relate fields. Geoffrey C. Williams’ Treatment Self-Regulation Questionnaire(TSRQ)was adopted and introduced into China, and through stopping smoking,physcial activity and health eating to complete the metrological test for the Chinese version of TSRQ completed the translation,back-translation,culture adaption,reliability and validity test and detected it’s applicability in our country, especially in the patients with CHD.3、Adopt cross sectional study design,we decided to choose the Chinese version of TSRQ-SS,TSRQ-PA,TSRQ-HE,Resilience Scale,Coronary Heart Disease Self-efficacy Questionnaire and demographic date as measuring tools.Using the method of the convenient sampling,432 inpatients with CHD from three hospitals in Hangzhou were investigated,to explore the influencing factors of motivations of stopping smoking, physical activity and health eating in patients with CHD.[Results]1、On the basis of literature review and theoretical analysis, research framework was formed to guide this study.2、(1)The results of scale metrological test about Chinese version of TSRQ-SS showed:14 items of Chinese version of TSRQ-SS had a good identify degree; principal component analysis resulted in four factors,explaining 84.189%of the variance; Cronbach’s a of the questionnaire was 0.951,Cronbach’s a of each dimension in the scale were 0.791-0.960; split-half reliability was 0.926; The results of confirmatory were:x 2/df=4.246,GFI=0.920,AGFI=0.882,NFI=0.954, TLI=0.954, CFI=0.964, IFI=0.964,RMSEA=0.076,implied the Chinese version of TSRQ-SS had good reliability and validity.(2)The results of scale metrological test about Chinese version of TSRQ-PA showed:12 items of Chinese version of TSRQ-PA had a good identify degree; principal component analysis resulted in three factors,explaining 79.231% of the variance; Cronbach’s a of the questionnaire was 0.912,Cronbach’s a of each dimension in the sacle were 0.842-0.955; split-half reliability was 0.855; The results of confirmatory were:x 2/df=4.166,GFI=0.929,AGFI=0.891,NFI=0.952,TLI=0.952, CFI=0.963,IFI=0.963,RMSEA=0.077,implied the Chinese version of TSRQ-PA had good reliability and validity.(3) The results of scale metrological test about Chinese version of TSRQ-HE showed:14 items of Chinese version of TSRQ-HE had a good identify degree; principal component analysis resulted in four factors, explaining 81.700% of the variance; Cronbach’s a of the questionnaire was 0.909,Cronbach’s a of each dimension in the sacle were 0.823-0.938; split-half reliability was 0.852; The results of confirmatory were:x 2/df=3.953,GFI=0.925,AGFI=0.889, NFI=0.943, TLI=0.944,CFI=0.956,IFI=0.957,RMSEA=0.079,implied the Chinese version of TSRQ-PA had good reliability and validity.3、The results of cross-sectional survey:(1)The score of stopping smoking motivation of the patients with CHD was 49.21 ± 23.93;the score of physical activity motivation was 42.24 ± 14.86;the score of health eating motivation 59.65 ± 16.65.Health eating motivation was the highest, physical activity motivation was the lowest,stopping smoking motivation was in the middle.The resilence score of patients with CHD is 126 ± 21.653, the self-efficacy score of patients with CHD is 38.56 ± 12.839.(2)① One-way analysis of variance and the correlation analysis found that: gender, marital status,educational level,treatment methods,number of PCI, smoking status were related to the stopping smoking motivation of patients with CHD (P< 0.05); ②educational level, occupation, medical expenses payment methods, personal monthly income,physical activity status were related to the physical activity motivation of patients with CHD (P< 0.05);③marital status, educational level, medical expenses payment methods, personal monthly income, course of CHD,dietary assessment were related to the health eating motivation of patients with CHD (P< 0.05).④The correlation analysis showed that:the motivation of stopping smoking, physical activity, healthy eating were positively correlated with resilience and self efficacy with CHD.(3)Stepwise multiple linear regression analysis showed the variables of: ①ignificant life experience, symptom maintenance, gender, smoking status were the main factors influencing the stopping smoking motivation of patients with CHD, and 38.9% of the total variance were explained;②Sedation, continuous self improvement, meaningful life experience, symptom maintenance, personal income, physical activity status, education were the main factors influencing the physical activity motivation of patients with CHD and 37% of the total variance were explained; ③continuous self improvement, meaningful life experience, symptoms maintenance, personal income, dietary assessment, education level were main factors influencing the healthy diet motivation of patients with CHD,25.1% of the total variance were explained.[Conclusions]1、In this study, the revised Chinese versions of TSRQ-SS,TSRQ-PA,TSRQ-HE had good internal consistencies, test-retest reliabilities, content validities, construct validities, distinctiones and discernments of the items were acceptable, they can provide new evaluation tools for measuring the level of stopping smoking, physical activity and health eating motivation of patients with CHD or other chronic patients.2、Healthy eating motivation of patients with CHD was the highest, physical activity motivation was the lowest, stopping smoking motivation was in the middle. The stopping smoking motivation, physical activity motivation, health eating motivation in patients with CHD were positively related to resilience.Significant life experience, symptom maintenance, gender, smoking status were the main factors influencing stopping smoking motivations in patients with CHD;Sedation, continuous self improvement, meaningful life experience, symptom maintenance, personal income, physical activity status, education were the main factors influencing the physical activity motivation of patients with CHD; continuous self improvement, meaningful life experience, symptoms maintenance, personal income, dietary assessment, education level were the main factors influencing the healthy diet motivation of patients with CHD.These results can help to develop personalized interventions to enhance the stopping smoking motivation, physical activity motivation, health eating motivation of patients with CHD,to help them build a long-lasting healthy lifestyle.and to promote the rehabilitation process of their diseases. |
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