[1]由淑萍,张雪莲,陶 宁,等.基于行为改变轮理论的综合干预对新疆牧区哈萨克族高血压患者自我管理行为的影响[J].医学信息,2021,34(18):183-186.[doi:10.3969/j.issn.1006-1959.2021.18.051]
　YOU Shu-ping,ZHANG Xue-lian,TAO Ning,et al.The Effect of Comprehensive Intervention Based on the Theory of Behavior Change Wheel onSelf-management Behavior of Kazakh Patients with Hypertension in Xinjiang Pastoral Area[J].Medical Information,2021,34(18):183-186.[doi:10.3969/j.issn.1006-1959.2021.18.051]
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基于行为改变轮理论的综合干预对新疆牧区哈萨克族高血压患者自我管理行为的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年18期
页码:
183-186
栏目:
护理研究
出版日期:
2021-09-18

文章信息/Info

Title:
The Effect of Comprehensive Intervention Based on the Theory of Behavior Change Wheel onSelf-management Behavior of Kazakh Patients with Hypertension in Xinjiang Pastoral Area
文章编号:
1006-1959（2021）18-0183-04
作者:
由淑萍1; 张雪莲1; 陶 宁2; 郑彦玲3; 陈清杰4; 向 阳2; 樊琼玲1; 徐月贞1; 詹怀峰5
1.新疆医科大学护理学院，新疆 乌鲁木齐 830011；2.新疆医科大学公共卫生学院，新疆 乌鲁木齐 830011；3.新疆医科大学工程学院，新疆 乌鲁木齐 830011；4.新疆医科大学第一附属医院，新疆 乌鲁木齐 830011；5.乌鲁木齐县水西沟卫生院体检中心，新疆 乌鲁木齐 830000
Author(s):
YOU Shu-ping1; ZHANG Xue-lian1; TAO Ning2; ZHENG Yan-ling3; CHEN Qing-jie4; XIANG Yang2; FAN Qiong-ling1;  XU Yue-zhen1; ZHANHuai-feng5
1.School of Nursing,Xinjiang Medical University,Urumqi 830011,Xinjiang,China;2.School of Public Health,Xinjiang Medical University,Urumqi 830011,Xinjiang,China;3.College of Engineering,Xinjiang Medical University,Urumqi 830011,Xinjiang,China;4.The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,Xinjiang,China;5.Physical Examination Center of Shuixigou Health Center,Urumqi County,Urumqi 830000,Xinjiang,China
关键词:
行为改变轮理论; 高血压; 自我管理行为; 哈萨克族牧民
Keywords:
Behavior change theory; Hypertension; Self-management behavior; Kazakh herders
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.18.051
文献标志码:
A
摘要:
目的 评价基于行为改变轮（BCW）理论的综合干预对牧区哈萨克族高血压患者自我管理行为的影响。方法 采用随机对照实验研究设计，于2019年6月-2020年6月分层抽取灯草沟、白杨沟两个牧区符合纳入标准的哈萨克族高血压患者289例作为研究对象，对照组根据牧区慢性病管理常规进行管理，实验组实施以BCW理论为指导设计的干预方案，比较两组血压、血压控制率、BMI、WC和自我管理行为得分。结果 两组干预后3个月收缩压、舒张压、血压控制率比较，差异无统计学意义（P＞0.05）；实验组干预后6、12个月血压舒张压、收缩压低于对照组，血压控制率高于对照组，差异有统计学意义（P＜0.05）。两组干预后3个月BMI比较，差异无统计学意义（P＞0.05）；实验组干预后6、12个月BMI低于对照组，差异有统计学意义（P＜0.05）；两组干预后各时间点WC比较，差异无统计学意义（P＞0.05）。实验组干预后12个月自我管理行为总分和各维度得分高于对照组，差异有统计学意义（P＜0.05）。结论 基于BCW理论的综合干预能够降低牧区哈萨克族高血压患者的血压，提高血压控制率，促进患者自我管理行为。
Abstract:
Objective To evaluate the effect of comprehensive intervention based on the behavior change wheel (BCW) theory on the self-management behavior of Kazakh patients with hypertension in pastoral areas.Methods A randomized controlled experimental study design was adopted. From June 2019 to June 2020, 289 Kazakh hypertensive patients who met the inclusion criteria in Dengcaogou and Baiyanggou pastoral areas were stratified and selected as the research objects.The control group was managed according to the management routine of chronic diseases in the pastoral area, and the experimental group implemented the intervention plan designed with the BCW theory as the guide.The blood pressure, blood pressure control rate, BMI, WC and self-management behavior scores were compared between the two groups.Results There was no significant difference in systolic blood pressure, diastolic blood pressure, and blood pressure control rate between the two groups at 3 months after intervention (P>0.05);The diastolic and systolic blood pressure of the experimental group was lower than that of the control group at 6 and 12 months after the intervention, and the blood pressure control rate was higher than that of the control group,the difference was statistically significant (P<0.05).There was no significant difference in BMI between the two groups at 3 months after intervention (P>0.05);The BMI of the experimental group was lower than that of the control group at 6 and 12 months after the intervention, the difference was statistically significant (P＜0.05);There was no significant difference in WC between the two groups at each time point after the intervention (P>0.05).The total score of self-management behavior and the scores of each dimension in the experimental group were higher than those of the control group at 12 months after the intervention,the difference was statistically significant (P<0.05).Conclusion The comprehensive intervention based on the BCW theory can reduce the blood pressure of Kazakh patients with hypertension in the pastoral area, improve the blood pressure control rate, and promote the self-management behavior of patients.

参考文献/References:

[1]陈燕华,房梦雅,耿劲松,等.中国大陆高血压健康素养研究的文献计量分析[J].医学信息,2020,33(9):1-5,8.[2]Band R,Bradbury K.Intervention planning for a digital intervention for self-management of hypertension:a theoryevidenceand person-based approach[J].Implementation Science,2017,12(1):25. [3]蔡利,单岩,杜理平,等.国外行为改变轮理论的概述与实践[J].解放军护理杂志,2019,36(7):59-62. [4]王家威,樊琼玲,罗园园,等.哈萨克族牧民新发高血压影响因素的Cox比例风险模型分析[J].中国全科医学,2019,22(30):3672-3678.[5]Michie S,van Stralen MM,West R.The behaviour change wheel:a new method for characterising and designing behaviour change interventions[J].Implementation Science,2011(6):42.[6]曾望远,周素云,顾申红.海口市社区高血压现状调查及全科干预效果研究[J].中国全科医学,2020,23(18):2335-2341. [7]刘宁,张婧珺,鱼星锋,等.高血压病人自我管理量表的研制与信效度检验[J].护理研究,2015,(14):1764-1767.[8]蔡敏章,马明辉,刘来新,等.社区不同高血压管理模式对患者血压控制的影响[J].中国卫生政策研究,2017,10(12):49-53. [9]井丽,田园梦,林敏,等.辽宁省农村地区出血性卒中患病情况及影响因素分析[J].中国慢性病预防与控制,2019,27(12):917-921. [10]王家威,樊琼玲,张雪莲,等.终止高血压膳食疗法(DASH)对乌鲁木齐南山牧区牧民高血压前期的干预研究[J].新疆医科大学学报,2020,43(7):962-966,975.

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