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基于能力、机会、动机-行为模型的健康教育在农牧区代谢综合征患者中的应用 被引量:4

Application of health education based on Ability,Opportunity,Motivation-Behavior Model in patients with metabolic syndrome in agricultural and pastoral areas
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摘要 目的探讨基于能力、机会、动机-行为模型的健康教育对新疆农牧区代谢综合征患者代谢指标、健康促进行为方式及用药依从性的影响。方法选取2020年5月至9月期间在新疆农牧区卫生院接受全民体检的214例代谢综合征患者,按照村落分为试验组(108例)和对照组(106例)。对照组进行常规健康教育,试验组在对照组的基础上进行基于能力、机会、动机-行为模型的健康教育,分别在健康教育前和健康教育12个月后评定代谢指标、健康促进行为方式及用药依从性情况。结果干预12个月后,试验组的代谢指标、健康促进生活方式水平和用药依从性均优于对照组(P<0.01或P<0.05)。结论基于能力、机会、动机-行为模型的健康教育干预措施能够有效改善农牧区代谢综合征患者代谢指标、提高健康促进生活方式水平及用药依从性。 Objective To explore the effects of health education based on Ability,Opportunity,Motivation-Behavior Model(COM-B)on metabolic indexe,health promoting behavior style and medication compliance of patients with metabolic syndrome in agricultural and pastoral areas of Xinjiang.Methods A total of 214 patients with metabolic syndrome received national physical examination in Xinjiang agricultural and pastoral area health center from May to September 2020 were selected as the research objects and divided into experimental group(108 cases)and control group(106 cases)according to villages.The control group received routine health education.The experimental group received health education based on COM-B on the basis of the control group.The metabolic indexe,health promoting behavior style and medication compliance were evaluated before and 12 months after health education.Results After 12 months of intervention,the metabolic index,health promoting lifestyle level and medication compliance of the experimental group were better than those of the control group(P<0.01 or P<0.05).Conclusion The health education intervention measures based on COM-B can effectively improve the metabolic index,health promoting lifestyle level and medication compliance of metabolic syndrome patients in agricultural and pastoral areas.
作者 杨菲 曹雪梅 张雪莲 樊琼玲 王红磊 詹怀峰 由淑萍 YANG Fei;CAO Xuemei;ZHANG Xuelian;FAN Qiongling;WANG Honglei;ZHAN Huaifeng;YOU Shuping(School of Nursing,Xinjiang Medical University,Urumqi 830011,China;Department of Respiratory and Critical Care Med-icine,the Third People's Hospital of Chengdu,Chengdu 610031,China;Physical Examination Center,Shuixigou Health Center in Urumqi County,Urumqi 830000,China)
出处 《护理管理杂志》 2022年第10期702-706,共5页 Journal of Nursing Administration
基金 国家教育部人文社会科学研究青年基金项目(17YJCZH230)。
关键词 代谢综合征 能力、机会、动机-行为模型 健康教育 用药依从性 metabolic syndrome ability,opportunity,motivation-behavior model health education medication compliance
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