Application of integrated theory of health behavior change combined with promotion strategy in the health management of patients with hyperuricemia
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维普
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目的 分析健康行为改变整合理论联合助推策略对高尿酸血症患者血尿酸、糖脂代谢水平、自我管理能力及生活方式的影响,为高尿酸血症患者健康管理提供理论依据.方法 选取2021年5月-2023年4月在绍兴文理学院附属医院健康体检发现的156例高尿酸血症患者,根据随机数字表法将其分为对照组(78例)和观察组(78例).对照组患者应用常规健康管理,观察组在对照组基础上应用健康行为改变整合理论联合助推策略干预方法.比较2组患者干预前后血尿酸水平、糖脂代谢指标、慢性病自我管理问卷(CDSMQ)及健康促进生活方式量表(HPLP-ⅡR)得分差异.结果 干预后,观察组患者血尿酸(UA)、低密度脂蛋白(LDL)及空腹血糖(FBG)均低于对照组,且高密度脂蛋白(HDL)高于对照组,差异均有统计学意义(P＜0.05);观察组患者CDSMQ量表及HPLP-Ⅱ R 量表总分分别为(28.15±2.33)分、(133.41±10.85)分,均高于对照组[(22.51±3.79)分、(99.67±8.58)分,P＜0.05].结论 健康行为改变整合理论联合助推策略能有效改善高尿酸血症患者尿酸、血脂、血糖水平,提高患者自我管理能力,改善其生活方式,值得临床应用.
Objective To analyze the impact of the integration theory of health behavior change and the combined promo-tion strategy on the blood uric acid,glucose and lipid metabolism levels,self-management ability,and lifestyle of patients with hyperuricemia,providing a theoretical basis for the health management of patients with hyperuricemia.Methods A total of 156 patients with hyperuricemia conducting health examinations the Affiliated Hospital of Shaoxing University of Arts and Sciences from May 2021 to April 2023 were selected.They were randomly divided into a control group and an observation group,with 78 cases in each group,using a random number table method.The control group received routine health management,while the observation group received integrated theory of health behavior change combined with sup-portive nursing interventions on the basis of the control group.The changes in blood uric acid(UA)levels,glucose and lipid metabolism indicators,as well as the differences in scores on the chronic disease self-management questionnaire(CDSMQ)and the health promotion lifestyle profile Ⅱ(HPLP-ⅡR)between two groups of patients before and after in-tervention were compared.Results After intervention,the levels of UA,low-density lipoprotein(LDL)and fasting blood glucose(FBG)in the observation group were lower than those in the control group,and the high-density lipoprotein(HDL)index was higher than the control group(P＜0.05).The total scores of the CDSMQ scale and HPLP-Ⅱ R scale in the observation group were(28.15±2.33)points and(133.41±10.85)points,respectively,which were higher than those in the control team[(22.51±3.79)points and(99.67±8.58)points,P＜0.05].Conclusion The combination of integrated theory of health behavior change and promotion strategy can effectively improve the levels of uric acid,blood lipids,and blood glucose in patients with hyperuricemia,enhance their self-management ability,and improve their lifes-tyle,which is worthy of clinical application.
HyperuricemiaIntegrated theory of health behavior changeBoosting strategyHealth managementLife style
维普
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