Construction of stepped diet intervention strategy for middle-aged patients with acute pancreatitis based on behavior change theory and its application
Objective To construct a stepped diet intervention strategy based on the behavior change theory,and to explore its application effect on middle-aged patients with acute pancreatitis.Methods It was a prospective randomized controlled study involving 80 middle-aged acute pancreatitis patients admitted to Department of Infectious Diseases of Beijing Friendship Hospital from May 2020 to May 2022.They were randomly assigned into the control group(n=40)and observation group(n=40)using a random number table method.The control group adopted the stepped diet intervention strategy,and the observation group adopted the stepped diet intervention strategy constructed by the behavior change theory.The nutritional indicators,including serum total protein(TP),albumin(ALB),hemoglobin(Hb);health behaviors assessed by the Health-Promoting Lifestyle Profile Ⅱ(HPLP-Ⅱ);quality of life assessed by the 36-Item Short Form Survey(SF-36)and Activities of Daily Living(ADL);and nursing satisfaction were compared between the control group and the observation group before and after nursing.Results After nursing,the TP,ALB,and Hb levels in the observation group were significantly higher than those of the control group(P＜0.05).Compared with those of the control group,patients in the observation group had a significantly higher proportion of those following medical advice,self-monitoring,regular follow-up,and controlling diet(P＜0.05).The HPLP-Ⅱ score of the observation group after nursing was significantly higher than that of the control group(P＜0.05).The SF-36 score and ADL score of the observation group after nursing were significantly higher than those of the control group(P＜0.05).Compared with those of the control group,patients in the observation group had a significantly lower incidence of adverse events and higher nursing satisfaction(P＜0.05).Conclusion The stepped diet intervention strategy constructed by the behavior change theory in middle-aged patients with acute pancreatitis can improve the nutritional status of the body,self-management,health behavior and quality of life.The incidence of adverse events is lower,and patient satisfaction is higher.
middle-aged peopleacute pancreatitisbehavior change theorystepped diet interventionhealthy behaviorquality of life
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