首页|医院主导下实施计划行为理论为基础的家庭健康管理改善TIA患者的自我效能研究

医院主导下实施计划行为理论为基础的家庭健康管理改善TIA患者的自我效能研究

Study on the effect of hospital-led family health management program on self-efficacy of transient ischemic attack patients based on planned behavior theory

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目的 探讨计划行为理论为基础实施医院主导的家庭健康管理方案对短暂性脑缺血发作(TIA)患者自我效能的影响.方法 选取 2021 年 1 月至 2023 年 1 月治疗的TIA患者 102 例,按照随机数表法分为观察组和对照组,每组 51 例.对照组给予常规护理健康管理干预,观察组在对照组基础上给予以计划行为理论为基础实施医院主导的家庭健康管理干预,对比 2 组患者干预前、干预 1 个月后自我效能、疾病知识问卷、健康行为态度、健康行为及日常生活能力(ADL)评分.结果 干预 1 个月后 2 组患者自我效能评分均高于干预前,且观察组高于对照组(P<0.05);干预 1 个月后 2 组患者疾病知识问卷评分均高于干预前,且观察组高于对照组(P<0.05);干预 1 个月后 2 组患者健康行为态度评分均高于干预前,且观察组高于对照组(P<0.05);干预 1 个月后 2 组患者健康行为评分均高于干预前,且观察组高于对照组(P<0.05);干预 1 个月后 2 组患者ADL评分均高于干预前,且观察组高于对照组(P<0.05).结论 TIA患者中应用以计划行为理论为基础实施医院主导的家庭健康管理,可建立其疾病正确认知及积极行为态度,提高自我效能及日常生活能力,促进防治疾病健康管理行为的实施.
Objective To investigate the effect of hospital-led family health management program on the self-efficacy of patients with transient ischemic attack(TIA)based on planned behavior theory.Methods A total of 102 TIA patients treated in our hospital from January 2021 to January 2023 were selected and divided into observation group and control group(51 cases each)according to random number table method.Patients in both groups were given routine nursing intervention program for health management,and those in the observation group were additionally given hospital-led family health management program intervention based on planned behavior theory.Self-efficacy,disease knowledge questionnaire,health behavior attitude,health behavior and the Activities of Daily Living(ADL)score before intervention and one month after intervention were compared between the two groups.Results After 1 month of intervention,the self-efficacy score of both groups was higher than that before intervention,and which was significantly higher in the observation group than that of control group(P<0.05).After 1 month of intervention,the scores of disease knowledge questionnaire in both groups were significantly higher than before intervention,and which were significantly higher in the observation group than those of control group(P<0.05).After 1 month of intervention,the health behavior attitude scores and health behavior scores of both groups were significantly higher than those before intervention,and which were significantly higher in the observation group than those of control group(both P<0.05).After 1 month of intervention,the ADL score of both groups was significantly higher than that before intervention,and which was significantly higher in the observation group than that of control group(P<0.05).Conclusion The application of the hospital-led family health management program based on planned behavior theory in TIA patients can establish their correct disease cognition and positive behavior attitude,improve self-efficacy and activity of daily life,and promote the implementation of health management behavior of disease prevention and treatment.

planned behavior theoryhospital-ledfamily health management programtransient ischemic attack(TIA)self-efficacytherapy effect

齐琳琳、王芳

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100038 北京市,首都医科大学附属北京世纪坛医院神经内科

计划行为理论 医院主导 家庭健康管理 短暂性脑缺血发作 自我效能 治疗结果

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(9)
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