基于助推理论的健康管理方案在慢性病患者中的应用

章汝; 葛孟华; 陈烨君; 王爱芳; 阮国栋

doi:10.16766/j.cnki.issn.1674-4152.003162

基于助推理论的健康管理方案在慢性病患者中的应用

doi: 10.16766/j.cnki.issn.1674-4152.003162

1.
绍兴第二医院健康管理部，浙江绍兴 312000
2.
绍兴第二医院普外科
3.
绍兴第二医院内分泌代谢科
4.
绍兴第二医院医共体总院肿瘤外科(甲乳外科)，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2023KY1278

详细信息

通讯作者:
葛孟华，E-mail：zjsxgmh@163.com

中图分类号: R473.5 R592
计量
- 文章访问数: 361
- HTML全文浏览量: 250
- PDF下载量: 18
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-03
- 网络出版日期: 2023-10-19

Application of health management plan based on boost theory in patients with chronic diseases

1.
Management Department, Shaoxing Second Hospital Health, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的探讨基于助推理论的健康管理方案在慢性病患者中的应用效果, 分析其对患者健康行为、健康素养、自我监测能力及服务满意度情况的影响。方法采用便利抽样法选取2020年7月-2023年1月绍兴第二医院收治的200例慢性病患者作为研究对象, 根据随机数字表法将其分为对照组(100例)和观察组(100例)。对照组采用常规健康管理, 观察组在对照组基础上采用基于助推理论的健康管理方案。比较2组患者干预前后健康行为、健康素养、自我监测能力及服务满意度。结果干预前, 2组患者健康行为、健康素养及自我监测能力评分比较差异无统计学意义(均P>0.05);干预后, 观察组患者健康促进生活方式量表总分为(117.51±3.89)分, 高于对照组[(101.27±3.44)分, P < 0.05];干预后, 观察组患者健康素养水平高于对照组(P < 0.05);干预后, 观察组患者疾病自我监测能力得分为(8.87±0.64)分, 高于对照组[(7.33±1.26)分, P < 0.05];观察组服务满意度高于对照组(P < 0.05)。结论基于助推理论的健康管理方案能明显提高慢性病患者健康行为及健康素养, 有利于提高患者自我监测能力及服务满意度, 值得临床应用。
- 慢性病 /
- 助推理论 /
- 健康管理 /
- 健康行为 /
- 健康素养
Abstract: Objective To explore the application effect of health management plans based on boosting theory in chronic disease patients, and analyze their impact on patients'health behavior, health literacy, self-monitoring ability, and service satisfaction. Methods A total of 200 patients with chronic diseases who were admitted to Shaoxing Second Hospital from July 2020 to January 2023 were selected as the research objects using the convenient sampling method, and divided into control group and observation group according to the random number table, with 100 cases in each group.The control group adopted routine health management, while the observation group adopted a health management program based on the boost theory on the basis of the control group.The health behavior, health literacy, self-monitoring ability and service satisfaction of the two groups were compared. Results Before intervention, there was no statistically significant difference in the scores of health behavior, health literacy, and self-monitoring ability between the two groups of patients (all P>0.05).After intervention, the total score of the health promotion lifestyle scale for patients in the observation group was (117.51±3.89) points, which was higher than the score of the control group (101.27±3.44) points (P < 0.05);The health literacy level of the observation group was higher than that of the control group (P < 0.05);The self-monitoring ability score of the observation group patients was (8.87±0.64) points, which was higher than that of the control group[(7.33±1.26) points, P < 0.05];Service satisfaction in the observation group was higher than in the control group (P < 0.05). Conclusion The health management program based on the boost theory can significantly improve the health behavior and health literacy of patients with chronic diseases, and is conducive to improving patients'self-monitoring ability and service satisfaction, which is worthy of clinical application.
- Chronic disease /
- Boost theory /
- Health management /
- Healthy behavior /
- Health literacy

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表 1 2组慢性病患者一般资料比较

Table 1. Comparison of general data of chronic disease patients in two groups

项目	对照组 (n=100)	观察组 (n=100)	统计量	P值
性别(例)			0.188^a	0.664
男性	59	62
女性	41	38
年龄(x±s，岁)	58.77±8.94	58.81±9.61	0.053^b	0.958
疾病种类(例)			0.312^a	0.958
高血压	22	20
冠心病	22	25
糖尿病	36	36
脑卒中	20	19
患病个数(例)			0.085^c	0.932
1个	49	47
2个	34	38
≥3个	17	15
病程时间(x±s，年)	6.11±1.06	6.15±0.98	0.277^b	0.782
注：^a为χ²值，^b为t值，^c为Z值。

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表 2 2组慢性病患者干预前后健康促进生活方式量表评分比较(x±s，分)

Table 2. Comparison of health promotion lifestyle scale scores of chronic disease patients before and after intervention in two groups(x±s, points)

组别	例数	营养		运动		人际关系		压力
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	100	8.72±1.13	10.42±1.21^a	10.33±1.27	13.44±1.33^a	15.41±1.53	16.80±1.72^a	12.66±1.88	14.65±1.06^a
观察组	100	8.75±1.09	13.11±0.74^a	10.36±1.44	16.71±0.42^a	15.38±1.18	18.11±1.34^a	12.63±1.41	17.67±1.22^a
t值		0.191	18.966	0.156	23.445	0.155	6.008	0.128	18.686
P值		0.849	< 0.001	0.876	< 0.001	0.877	< 0.001	0.898	< 0.001

组别	例数	健康责任				自我实现		总分
组别	例数	干预前		干预后		干预前	干预后	干预前	干预后
对照组	100	18.71±3.17		22.31±1.85^a		21.25±2.33	21.91±2.10	91.21±5.67	101.27±3.44^a
观察组	100	18.75±2.55		25.13±2.42^a		21.28±3.04	23.11±2.78^a	91.25±5.48	117.51±3.89^a
t值		0.098		9.258		0.078	3.444	0.051	31.274
P值		0.922		< 0.001		0.938	0.001	0.959	< 0.001
注：与同组干预前比较，^a P < 0.05。

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表 3 2组慢性病患者干预前后健康素养水平比较(例)

Table 3. Comparison of health literacy level of chronic disease patients before and after intervention in two groups (cases)

组别	例数	干预前			干预后
组别	例数	不具备健康素养	中等健康素养	良好健康素养	不具备健康素养	中等健康素养	良好健康素养
对照组	100	20	59	21	11	50	39
观察组	100	18	62	20	2	40	58
Z值		0.162			3.814
P值		0.782			0.015

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表 4 2组慢性病患者干预前后自我监测能力比较(x±s，分)

Table 4. Comparison of self-monitoring ability of chronic disease patients before and after intervention in two groups(x±s, points)

组别	例数	干预前	干预后	t值	P值
对照组	100	5.16±1.29	7.33±1.26	15.285	< 0.001
观察组	100	5.20±1.41	8.87±0.64	19.282	< 0.001
t值		0.209	10.897
P值		0.834	< 0.001

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