广西医学

目的探讨减重代谢术后患者体力活动意向阶段运动自我效能的潜在类别及影响因素。方法采取便利抽样法，选取接受减重代谢术且体力活动状态为意向阶段的100例患者作为研究对象。采用一般资料调查问卷、运动自我效能量表（ESES）、医院焦虑抑郁量表（HADS）、社会支持评定量表（SSRS）、自我调节能力量表（SRS）对其进行调查。对减重代谢术后患者体力活动意向阶段运动自我效能进行潜在剖面分析，并采用多因素Logistic回归模型分析患者运动自我效能的影响因素。结果减重代谢术后患者体力活动意向阶段运动自我效能可分为高运动自我效能（35.00%）、中等运动自我效能（42.00%）和低运动自我效能（23.00%）3个潜在类别。3组患者的家庭人均月收入、手术前后体重指数变化值、术后时间、HADS得分、SSRS得分和SRS得分差异有统计学意义（P<0.05）。多因素Logistic回归分析结果显示，家庭人均月收入、手术前后体重指数变化值、术后时间、HADS得分、SSRS得分和SRS得分是减重代谢术后患者体力活动意向阶段运动自我效能的影响因素（P<0.05）。结论减重代谢术后患者体力活动意向阶段的运动自我效能存在异质性，且受经济状况、手术效果、术后时间、焦虑抑郁状态、社会支持及自我调节能力等因素的影响。

Objective To investigate the latent categories and influencing factors for exercise self⁃efficacy of patients in physical⁃activity intention stage after bariatric and metabolic surgery. Methods Employing convenience sampling method, 100 patients receiving bariatric and metabolic surgery whose physical⁃activity status was determined as the intention stage were selected as the research subjects. Investigation was performed using general data inventory, Exercise Self⁃Efficacy Scale (ESES), Hospital Anxiety and Depression Scale (HADS), Social Support Rating Scale (SSRS), Self⁃Regulation Scale (SRS). Potential profile analysis was performed on exercise self⁃efficacy of patients in physical⁃activity intention stage after bariatric and metabolic surgery, and multivariate Logistic regression model was adopted to analyze the influencing factors for exercise self⁃efficacy of patients. Results The exercise self⁃efficacy of patients in physical⁃activity intention stage after bariatric and metabolic surgery could be divided into three latent categories as follows: high exercise self⁃efficacy (35.00%), medium exercise self⁃efficacy (42.00%), or low exercise self⁃efficacy (23.00%). There were statistically significant differences in per capita monthly income of the family, pre⁃ and post⁃operative body mass index change values, postoperative duration, HADS score, SSRS score, and SRS score between the two groups (P<0.05). Multivariate Logistic regression analysis revealed that per capita monthly income of the family, pre⁃ and post⁃operative body mass index change values, postoperative duration, HADS score, SSRS score, and SRS score were the influencing factors for exercise self⁃efficacy of patients in physical⁃activity intention stage after bariatric and metabolic surgery (P<0.05). Conclusion There is heterogeneity in exercise self⁃efficacy of patients in physical⁃activity intention stage after bariatric and metabolic surgery, and it is affected by economic status, surgical effect, postoperative duration, anxiety and depression, social support and self⁃regulation ability.