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跨理论健康教育对PCI术后病人健康生活方式影响

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目的 探讨跨理论健康教育对经皮冠状动脉介入治疗(PCI)术后病人健康生活方式影响.方法 选取确诊为冠心病并施行了PCI术后病人194例,随机分为观察组和对照组,观察组病人给予跨理论健康教育干预,对照组病人给予常规健康教育,教育时间3个月.分别应用行为变化阶段评估问卷、健康行为问卷和健康生活方式量表,测定两组病人干预前后的行为变化分布、健康行为和健康生活方式得分.结果 干预前,两组病人行为变化各阶段分布、健康行为评分和健康生活方式评分比较,差异无统计学意义(P>0.05).干预后,观察组病人的行为变化各阶段分布、健康行为评分和健康生活方式评分显著优于对照组,差异具有统计学意义(x 2=19.896,t=2.116~6.775,P<0.05).结论 跨理论健康教育能够显著改善PCI术后病人的不良行为,促进PCI术后病人健康生活方式的建立和维持.
EFFECTS OF TRANS-THEORETICAL MODEL-BASED HEALTH EDUCATION ON HEALTH LIFESTYLE OF PATIENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION
Objective To investigate the effects of trans-theoretical model (TTM)-based health education on the healthy lifestyle of patients following percutaneous coronary intervention (PCI).Methods A total of 194 patients diagnosed with coronary heart disease and underwent PCI were randomly assigned to receive TTM-based health education (experimental group) or routine health education (control group) for three months.The questionnaire that assesses the stages of behavioral change,healthy behavior questionnaire,and healthy lifestyle scale were used to assess the distributions of stages of behavioral change,healthy behavior scores,and healthy lifestyle scores before and after intervention.Results There were no significant differences in the distribution of stages of behavioral change,healthy behavior score,and healthy lifestyle score before intervention (P>0.05).The experimental group showed significantly better distribution of stages of behavioral change,healthy behavior score,and healthy lifestyle score than those in the control group (x2=19.896,t=2.116-6.775,P<0.05).Conclusion TTM-based health education can significantly improve the adverse behaviors of patients following PCI,thus improving their quality of life.

trans-theoretical modelpercutaneous coronary interventionbehavior changehealth lifestyle

胡蓉

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成都市西区医院心内科,四川成都610036

跨理论模型 PCI 健康行为 健康生活方式

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(3)
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