{"id":3047,"date":"2023-12-11T09:44:52","date_gmt":"2023-12-11T09:44:52","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=3047"},"modified":"2025-11-04T09:14:54","modified_gmt":"2025-11-04T09:14:54","slug":"fancy-a-wee-walk-dyadic-behaviour-change-support-for-walking-after-stroke","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/zh\/2023\/12\/fancy-a-wee-walk-dyadic-behaviour-change-support-for-walking-after-stroke\/","title":{"rendered":"\u201c\u60f3\u6563\u6b65\u5417\uff1f\u201d\u2014\u2014\u5bf9\u4e2d\u98ce\u540e\u6b65\u884c\u7684\u4e8c\u5143\u884c\u4e3a\u6539\u53d8\u652f\u6301"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u7531\u52a0\u62ff\u5927\u65b0\u4e0d\u4f26\u745e\u514b\u5927\u5b66\u7684\u53f2\u8482\u82ac\u00b7\u4e1c\u5e03\u7f57\u592b\u65af\u57fa\uff08Stephan Dombrowski\uff09\u64b0\u7a3f<\/span><\/p>\n<p><b>\u6b65\u884c\u8fdc\u79bb\u6b7b\u4ea1<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u6b65\u884c\u662f\u4eba\u7c7b\u8fd0\u52a8\u6700\u57fa\u672c\u7684\u5f62\u5f0f\u4e4b\u4e00\uff0c\u5bf9\u5065\u5eb7\u6709\u5f88\u591a\u597d\u5904\u3002<\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lanpub\/article\/PIIS2468-2667(21)00302-9\/fulltext\"><span style=\"font-weight: 400;\">\u6709\u8bc1\u636e\u8868\u660e<\/span><\/a><span style=\"font-weight: 400;\">\uff0c\u6b65\u884c\u8f83\u591a\u7684\u4eba\u8fc7\u65e9\u6b7b\u4ea1\u7684\u53ef\u80fd\u6027\u8f83\u5c0f\uff0c\u8fd9\u8868\u660e\u6b65\u884c\u8fdc\u79bb\u6b7b\u4ea1\u662f\u53ef\u80fd\u7684\uff08\u81f3\u5c11\u5728\u4e00\u6bb5\u65f6\u95f4\u5185\uff09\u3002<\/span><\/p>\n<p><b>\u6b65\u884c\u548c\u4e2d\u98ce<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u6b65\u884c\u4f5c\u4e3a\u4e00\u79cd\u8eab\u4f53\u6d3b\u52a8\u884c\u4e3a\u5bf9\u4e2d\u98ce\uff08<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29791947\/\"><span style=\"font-weight: 400;\">\u6210\u4eba\u6b8b\u75be\u7684\u4e3b\u8981\u539f\u56e0<\/span><\/a><span style=\"font-weight: 400;\">\uff09\u60a3\u8005\u7279\u522b\u6709\u5e2e\u52a9\u3002\u4e2d\u98ce\u540e\u5b9a\u671f\u8fdb\u884c\u8eab\u4f53\u6d3b\u52a8\u53ef\u4ee5\u964d\u4f4e\u4e2d\u98ce\u590d\u53d1\u7684\u98ce\u9669\uff0c\u6709\u52a9\u4e8e\u5eb7\u590d\u5e76\u6539\u5584\u6574\u4f53\u529f\u80fd\u3001\u5065\u5eb7\u548c\u5e78\u798f\u3002\u7136\u800c\uff0c\u4e2d\u98ce\u60a3\u8005<\/span><a href=\"https:\/\/academic.oup.com\/ptj\/article\/96\/2\/193\/2686386?login=false\"><span style=\"font-weight: 400;\">\u5927\u7ea6<\/span><span style=\"font-weight: 400;\">75%<\/span><span style=\"font-weight: 400;\">\u7684\u9192\u7740\u65f6\u95f4\u90fd\u662f\u5750\u7740\u7684<\/span><\/a><span style=\"font-weight: 400;\">\uff0c\u8fd9\u4e00\u6bd4\u4f8b\u9ad8\u4e8e\u540c\u9f84\u4eba\u3002\u7136\u800c\uff0c\u6b65\u884c\u662f\u4e2d\u98ce\u540e\u6700\u5bb9\u6613\u5b9e\u73b0\u7684\u8eab\u4f53\u6d3b\u52a8\u5f62\u5f0f\u4e4b\u4e00\u2014\u2014<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7811170\/\"><span style=\"font-weight: 400;\">95%<\/span><span style=\"font-weight: 400;\">\u7684\u4eba\u5728\u4e2d\u98ce\u540e11\u5468\u5185\u53ef\u4ee5\u6b65\u884c<\/span><\/a><span style=\"font-weight: 400;\">\u3002\u6b64\u5916\uff0c<\/span><a href=\"https:\/\/www.physiotherapyjournal.com\/article\/S0031-9406(16)30021-9\/fulltext\"><span style=\"font-weight: 400;\">\u5bf9\u4e8e\u4e2d\u98ce\u60a3\u8005\u6765\u8bf4\uff0c\u6b65\u884c\u662f\u4e00\u79cd\u9996\u9009\u7684\u8eab\u4f53\u6d3b\u52a8\u5f62\u5f0f<\/span><\/a><span style=\"font-weight: 400;\">\uff0c\u4ed6\u4eec\u8ba4\u4e3a\u6b65\u884c\u662f\u5bb9\u6613\u3001\u6109\u5feb\u4e14\u901a\u5e38\u9002\u5408\u793e\u4ea4\u7684\u6d3b\u52a8\u3002\u5173\u952e\u95ee\u9898\u662f\u5982\u4f55\u652f\u6301\u4e2d\u98ce\u60a3\u8005\u591a\u8d70\u8def\uff1f<\/span><\/p>\n<p><b>\u4f60\u6c38\u8fdc\u4e0d\u4f1a\u72ec\u884c<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u4e2d\u98ce\u7b49\u6025\u6027\u5065\u5eb7\u4e8b\u4ef6\u53ef\u80fd\u4f1a\u5bf9\u4e2d\u98ce\u60a3\u8005\u53ca\u5176\u793e\u4f1a\u5173\u7cfb\u4e2d\u7684\u5176\u4ed6\uff0c\u5305\u62ec\u914d\u5076\u3001\u5bb6\u4eba\u548c\u670b\u53cb\u4ea7\u751f\u6bc1\u706d\u6027\u5f71\u54cd\u3002\u5728\u9006\u5883\u65f6\u671f\uff0c\u4f8b\u5982\u5065\u5eb7\u76f8\u5173\u751f\u6d3b\u4e8b\u4ef6\uff0c<\/span><a href=\"https:\/\/www.youtube.com\/watch?v=OV5_LQArLa0&amp;ab_channel=GerryPacemakers\"><span style=\"font-weight: 400;\">\u4eba\u4eec\u901a\u5e38\u4f1a\u4e92\u76f8\u652f\u6301<\/span><\/a><span style=\"font-weight: 400;\">\uff0c\u4ee5\u5e2e\u52a9\u5e94\u5bf9\u4e8b\u4ef6\u7684\u5f71\u54cd\u548c\u6062\u590d\u8fc7\u7a0b\u3002<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24694303\/\"><span style=\"font-weight: 400;\">\u6709\u8bc1\u636e<\/span><\/a><span style=\"font-weight: 400;\">\u8868\u660e\uff0c\u4e2d\u98ce\u540e\u6210\u529f\uff08\u91cd\u65b0\uff09\u5f15\u5165\u6b65\u884c\u7b49\u8eab\u4f53\u6d3b\u52a8\u7684\u60a3\u8005\u5f80\u5f80\u4f1a\u5f97\u5230\u4f34\u4fa3\u7684\u652f\u6301\u3002\u652f\u6301\u4f19\u4f34\u901a\u5e38\u4f3c\u4e4e\u76f4\u89c2\u5730\u4f7f\u7528\u5e38\u8bc6\u6027\u65b9\u6cd5\uff0c\u5305\u62ec<\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2018\/08\/how-to-set-goals-that-work\/\"><span style=\"font-weight: 400;\">\u76ee\u6807\u8bbe\u5b9a<\/span><\/a><span style=\"font-weight: 400;\">\u3001<\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2020\/05\/stop-being-an-ostrich-the-benefits-of-helping-people-to-monitor-their-progress\/\"><span style=\"font-weight: 400;\">\u76ee\u6807\u76d1\u63a7<\/span><\/a><span style=\"font-weight: 400;\">\u548c\u53cd\u9988\u7b49\u6709\u6548\u6280\u672f\uff0c\u5e2e\u52a9\u4e2d\u98ce\u60a3\u8005\u901a\u8fc7\u5171\u540c\u6d3b\u52a8\u8fdb\u884c\u6b65\u884c\u884c\u4e3a\u3002<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24694303\/\"><span style=\"font-weight: 400;\">\u5b9a\u6027\u7814\u7a76<\/span><\/a><span style=\"font-weight: 400;\">\u8868\u660e\uff0c\u901a\u8fc7\u4f7f\u7528\u8fd9\u4e9b\u65b9\u6cd5\uff0c\u5408\u4f5c\u4f19\u4f34\u6b63\u5728\u5bfb\u6c42\u6062\u590d\u6b65\u884c\uff0c\u4ee5\u4fc3\u8fdb\u4e2d\u98ce\u60a3\u8005\u53c2\u4e0e\u4e2d\u98ce\u524d\u4e00\u8d77\u4eab\u53d7\u7684\u5171\u540c\u6d3b\u52a8\u3002\u6211\u4eec\u53ef\u4ee5\u5c06\u8fd9\u4e9b\u65b9\u6cd5\u63cf\u8ff0\u4e3a\u201c<\/span><span style=\"font-weight: 400;\">\u4e8c\u5143\u5e72\u9884<\/span><span style=\"font-weight: 400;\">\u201d\uff0c\u5176\u4e2d\u4e24\u4e2a\u4eba\uff08\u4e2d\u98ce\u60a3\u8005\u548c\u5bb6\u5ead\u6210\u5458\uff09\u65e8\u5728\u5b9e\u73b0\u4e00\u4e2a\u76ee\u6807\uff08\u589e\u52a0\u6b65\u884c\uff09\u3002\u4e00\u4e2a\u5173\u952e\u95ee\u9898\u662f\u6211\u4eec\u662f\u5426\u53ef\u4ee5\u901a\u8fc7\u5e72\u9884\u6216\u670d\u52a1\u4f7f\u4e8c\u5143\u5e72\u9884\u66f4\u9891\u7e41\u3001\u66f4\u7cfb\u7edf\u5730\u53d1\u751f\uff1f<\/span><!--more--><\/p>\n<p><b>\u5229\u7528\u201c<\/b><b>\u6709\u6548\u7684\u65b9\u6cd5<\/b><b>\u201d<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u4e3a\u4e86\u7cfb\u7edf\u5730\u5229\u7528\u4e8c\u5143\u8fc7\u7a0b\u7684\u6709\u76ca\u5f71\u54cd\u6765\u652f\u6301\u53d8\u9769\uff0c\u5f00\u53d1\u4e86\u4e00\u9879\u4e3a\u671f<\/span><span style=\"font-weight: 400;\">12<\/span><span style=\"font-weight: 400;\">\u5468\u7684\u5e72\u9884\u63aa\u65bd\uff08\u79f0\u4e3a\u201c<\/span><span style=\"font-weight: 400;\">\u6211\u4eec\u6b65\u884c<\/span><span style=\"font-weight: 400;\">\u201d\uff09\uff0c\u65e8\u5728\u589e\u52a0\u4e2d\u98ce\u540e\u7684\u6237\u5916\u6b65\u884c\u3002<\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/12\/6\/e058563\"><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\">\u6211\u4eec\u6b65\u884c<\/span><span style=\"font-weight: 400;\">\u201d<\/span><\/a><span style=\"font-weight: 400;\">\u662f\u6839\u636e\u4ee5\u4eba\u4e3a\u672c\u7684\u539f\u5219\u548c\u5fc3\u7406\u5b66\u7406\u8bba\u7cbe\u5fc3\u5f00\u53d1\u7684\uff0c\u6c47\u96c6\u4e86\u8bad\u7ec3\u6709\u7d20\u7684\u5f15\u5bfc\u8005\u3001\u201c<\/span><span style=\"font-weight: 400;\">\u6b65\u884c\u4f19\u4f34<\/span><span style=\"font-weight: 400;\">\u201d\u548c\u4e2d\u98ce\u60a3\u8005\uff0c\u901a\u8fc7\u7ed3\u6784\u5316\u6d3b\u52a8\u548c\u6280\u672f\uff08\u4f8b\u5982\u76d1\u6d4b\u3001<\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2018\/08\/how-to-set-goals-that-work\/\"><span style=\"font-weight: 400;\">\u76ee\u6807\u8bbe\u5b9a<\/span><\/a><span style=\"font-weight: 400;\">\u548c<\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2017\/04\/the-power-of-planning\/\"><span style=\"font-weight: 400;\">\u884c\u52a8\u89c4\u5212<\/span><\/a><span style=\"font-weight: 400;\">\uff09\u5171\u540c\u9762\u5bf9\u9762\u6216\u901a\u8fc7\u7535\u8bdd\u8fdc\u7a0b\u4f1a\u9762\u3002<\/span><a href=\"https:\/\/pilotfeasibilitystudies.biomedcentral.com\/articles\/10.1186\/s40814-022-01227-5\"><span style=\"font-weight: 400;\">\u8be5\u5e72\u9884\u63aa\u65bd<\/span><\/a><span style=\"font-weight: 400;\">\u5bf9\u4e8e\u5b9e\u65bd\u662f\u53ef\u884c\u7684\u3002\u201c<\/span><span style=\"font-weight: 400;\">\u6b65\u884c\u4f19\u4f34<\/span><span style=\"font-weight: 400;\">\u201d\u548c\u4e2d\u98ce\u60a3\u8005\u90fd\u53ef\u4ee5\u63a5\u53d7\u63d0\u5021\u6237\u5916\u6b65\u884c\uff0c\u8fd9\u7a81\u663e\u4e86\u4e8c\u5143\u5e72\u9884\u652f\u6301\u884c\u4e3a\u6539\u53d8\u7684\u6f5c\u529b\u3002\u968f\u7740\u8fdb\u4e00\u6b65\u7814\u7a76\u7684\u5b8c\u5584\u548c\u6d4b\u8bd5\u5e72\u9884\u63aa\u65bd\u7684\u5f00\u5c55\uff0c\u73b0\u9636\u6bb5\u53ef\u4ee5\u5438\u53d6\u54ea\u4e9b\u7ecf\u9a8c\u6559\u8bad\uff1f<\/span><\/p>\n<p><b>\u4e8c\u5143\u5e72\u9884\u2014\u2014\u6709\u76ca\u4e14\u590d\u6742<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u4e8c\u5143\u5e72\u9884\u63aa\u65bd\u4f1a\u5e26\u6765\u590d\u6742\u6027\uff0c\u56e0\u4e3a\u5b83\u4eec\u9488\u5bf9\u7684\u662f\u591a\u4e2a\u4eba\uff0c\u5e76\u4e14\u901a\u5e38\u5efa\u7acb\u5728\u4ed6\u4eec\u4e4b\u95f4\u73b0\u6709\u7684\u5173\u7cfb\u4e4b\u4e0a\u3002\u5229\u7528\u73b0\u6709\u5173\u7cfb\u6709\u5f88\u591a\u597d\u5904\uff0c\u4f46\u53d6\u51b3\u4e8e\u4e8c\u5143\u4f53\u4e4b\u95f4\u7684\u5173\u7cfb\u7c7b\u578b\u3002\u5176\u4e2d\u5305\u62ec\u4fe1\u4efb\u3001\u8bda\u5b9e\u3001\u5c0a\u91cd\u548c\u6c9f\u901a\u6a21\u5f0f\u7b49\u5173\u7cfb\u65b9\u9762\u3002\u8fd9\u4e9b\u60c5\u51b5\u901a\u5e38\u8d85\u51fa\u4e8c\u5143\u5e72\u9884\u7684\u63a7\u5236\u8303\u56f4\u3002\u4f8b\u5982\uff0c\u201c<\/span><span style=\"font-weight: 400;\">\u6211\u4eec\u6b65\u884c<\/span><span style=\"font-weight: 400;\">\u201d\u5e72\u9884\u4e2d\u7684\u4e00\u4e9b\u53c2\u4e0e\u8005\u5f3a\u8c03\u4e86\u9f13\u52b1\u548c\u5520\u53e8\u4e4b\u95f4\u7684\u5fae\u5999\u754c\u9650\u2014\u2014\u8fd9\u53ef\u4ee5\u88ab\u8ba4\u4e3a\u662f\u5728\u6ca1\u6709\u660e\u663e\u8fdb\u5c55\u7684\u60c5\u51b5\u4e0b\u91cd\u590d\u63d0\u9192\u6267\u884c\u76ee\u6807\u884c\u4e3a\u3002\u5c3d\u7ba1\u5520\u53e8\u4e0d\u5c5e\u4e8e<\/span><a href=\"https:\/\/practicalhealthpsychology.com\/2023\/05\/bringing-behaviour-change-techniques-into-practice-making-use-of-available-tools\/\"><span style=\"font-weight: 400;\">\u884c\u4e3a\u6539\u53d8\u6280\u672f\u5206\u7c7b<\/span><\/a><span style=\"font-weight: 400;\">\u7684\u4e00\u90e8\u5206\uff0c\u4e5f\u6ca1\u6709\u88ab\u7eb3\u5165\u201c<\/span><span style=\"font-weight: 400;\">\u6211\u4eec\u6b65\u884c<\/span><span style=\"font-weight: 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