摘要
目的 探讨基于健康行动过程取向理论(health action process orientation theory, HAPA)的健康行为模式在中老年原发性高血压患者中的应用效果。方法 选取2022年1至10月我院中老年原发性高血压患者92例,随机分为两组,每组46例。对照组采取常规护理,观察组采取基于HAPA的健康行为模式,观察干预前后血压[舒张压(diastolic blood pressure, DBP)、收缩压(systolic blood pressure, SBP)]、健康行为方式(health behavior style, HPLP-Ⅱ)、自我效能及主要不良心血管事件(major adverse cardiovascular events, MACE)发生率。结果 干预后,观察组DBP、SBP低于对照组(P<0.05);干预后观察组HPLP-Ⅱ各维度评分高于对照组(P<0.05);干预后观察组自我效能等级及平均得分高于对照组(P<0.05);观察组MACE发生率6.52%与对照组19.57%相比,无显著差异(P>0.05)。结论 基于HAPA的健康行为模式是一种有效的健康管理方式,能协助中老年原发性高血压人群履行健康行为,增强自我效能感,控制血压水平,值得在高血压疾病健康行为管理中推广。
Objective To explore the effect of the health behavior model based on health action process orientation theory(HAPA)in middle-aged and elderly patients with essential hypertension.Methods A total of ninety-two middle-aged and elderly patients with essential hypertension in our hospital from January to October 2022 were randomly divided into two groups with forty-six cases in each group.The control group was treated with routine nursing,and the observation group was treated with the HAPA-based health behavior model.Blood pressure,health behavior style,self-efficacy,and the incidence of major adverse cardiovascular events before and after intervention were observed.Results After intervention,DBP and SBP in observation group were lower than those in control group(P<0.05).After intervention,HPLP-Ⅱscores in the observation group were higher than those in the control group(P<0.05);After intervention,the self-efficacy of observation group was higher than that of control group(P<0.05).There was no significant difference in the incidence of MACE in observation group(6.52%)compared with control group(19.57%)(P>0.05).Conclusion The health behavior model based on HAPA is an effective way of health management,which can assist middle-aged and elderly people with essential hypertension to perform healthy behaviors,enhance self-efficacy and control blood pressure levels,it is worthy of promotion in health behavior management of hypertension diseases.
作者
呼瑞平
寇小娜
梁言
Hu Rui-ping(Health Management Discipline,Henan Provincial People's Hospital,Zhengzhou 450000,Henan,China)
出处
《牡丹江医学院学报》
2024年第1期97-101,共5页
Journal of Mudanjiang Medical University
关键词
健康行为模式
中老年
自护能力
高血压
不良心血管事件
health behavior pattern
Middle and old age
Self-care ability
High blood pressure
Adverse cardiovascular events
