基于健康行为改变整合理论的护理模式对消化性溃疡患者心理状态、遵医行为及生活方式的影响

沈燕燕; 祝阿英; 罗小英; 章小华

doi:10.16766/j.cnki.issn.1674-4152.004109

基于健康行为改变整合理论的护理模式对消化性溃疡患者心理状态、遵医行为及生活方式的影响

doi: 10.16766/j.cnki.issn.1674-4152.004109

1.
绍兴第二医院医共体总院消化内科，浙江绍兴 312000
2.
绍兴第二医院医共体总院神经内科

基金项目:

浙江省医共体建设发展齐鲁研究项目 2023ZHA-QL216

详细信息

通讯作者:
沈燕燕，E-mail：15857576969@163.com

中图分类号: R473.57 R573.1
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出版历程
- 收稿日期: 2025-02-25
- 网络出版日期: 2025-10-25

The impact of a nursing model based on the theory of health behavior change integration on the psychological state, compliance behavior, and lifestyle of patients with peptic ulcers

1.
Department of Gastroenterology, Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的消化性溃疡是一种常见的消化系统疾病，其发生和发展与心理状态、遵医行为和生活方式密切相关，本研究探讨基于健康行为改变整合(ITHBC)理论的护理模式对消化性溃疡患者心理状态、遵医行为及生活方式的影响。方法选取2023年4月—2024年3月绍兴第二医院收治的170例消化性溃疡患者，采用随机数字表将患者分为对照组(85例)和观察组(85例)。对照组应用常规护理，观察组在对照组基础上应用基于ITHBC理论的护理模式。比较2组患者干预前后心理状态、遵医行为及生活方式。结果干预后，观察组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分分别为(35.18±4.62)分、(34.29±3.82)分，均低于对照组[(43.24±5.10)分、(40.05±4.21)分，P＜0.05]；干预后，观察组遵医行为量表及健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)得分分别为(75.33±5.29)分、(100.50±15.34)分，均高于对照组[(67.82±7.10)分、(91.59±12.77)分，P＜0.05]。结论基于健康行为改变整合理论的护理模式能有效改善消化性溃疡患者焦虑、抑郁等情绪状态，对提高遵医行为及促进健康生活方式具有积极作用。
- 消化性溃疡 /
- 健康行为改变整合理论 /
- 心理状态 /
- 遵医行为 /
- 生活方式
Abstract: Objective Peptic ulcer (PU) is a prevalent digestive system ailment, the aetiology of which is multifactorial, with psychological state, compliance behavior and lifestyle all playing a significant role. The present study explores the impact of a nursing model based on the integrated theory of health behavior change (ITHBC) theory on the psychological state, compliance behavior and lifestyle of peptic ulcer patients, providing a new theoretical basis and practical guidance for clinical nursing. Methods A total of 170 patients diagnosed with peptic ulceration were admitted to Shaoxing Second Hospital from April 2023 to March 2024. These patients were methodically divided into two groups: a control group and an observation group, with each group containing 85 cases. This division was conducted through the utilization of a random number table. The control group received routine nursing care, while the observation group received nursing care based on the ITHBC theory in addition to the aforementioned routine care. The psychological status, compliance behavior and lifestyle of the two groups of patients were then compared before and after the intervention. Results Following the implementation of the intervention, the self rating anxiety scale (SAS) and self rating depression scale (SDS) of the patients in the observation group demonstrated a mean score of 35.18±4.62 and 34.29±3.82, respectively. These scores were lower than those observed in the control group, which registered a mean score of 43.24±5.10 and 40.05±4.21, respectively. A statistical analysis revealed that these differences were statistically significant (P < 0.05). Following the implementation of the intervention, the scores obtained by the observation group on the medical compliance behavior scale and the health promoting lifestyle profile Ⅱ (HPLP-Ⅱ) were found to be 75.33±5.29 and 100.50±15.34, respectively. These figures were higher than the scores achieved by the group, which were 67.82±7.10 and 91.59±12.77, and were statistically significant (P < 0.05). Conclusion The nursing model, guided by the theory of health behavior change integration, has been demonstrated to effectively improve the clinical symptoms of peptic ulcers, alleviate patients ' anxiety and depression, and positively influence compliance behavior and the promotion of a healthy lifestyle.
- Peptic ulcer /
- Integrated theory of health behavior change /
- Mentality /
- Medical compliance behavior /
- Lifestyle

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表 1 2组消化性溃疡患者一般资料比较

Table 1. Comparison of general data between the two groups of patients with peptic ulcer

项目	对照组(n=85)	观察组(n=85)	统计量	P值
性别(例)			0.222^a	0.638
男性	53	50
女性	32	35
年龄(x ± s，岁)	57.60±5.74	58.11±5.05	0.615^b	0.539
受教育年限(x ± s，年)	13.88±4.52	13.79±4.06	0.137^b	0.892
病程时间(x ± s，年)	26.73±4.15	26.81±3.94	0.129^b	0.898
溃疡平均直径(x ± s，cm)	0.95±0.24	0.97±0.20	0.590^b	0.556
疾病类型(例)			0.685^a	0.408
胃溃疡	29	24
十二指肠溃疡	56	61
幽门螺杆菌状态(例)			0.212^a	0.645
阳性	43	46
阴性	42	39
注：^a为χ²值，^b为t值。

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表 2 2组消化性溃疡患者心理状态比较(x ± s，分)

Table 2. Comparison of psychological status between two groups of patients with peptic ulcer (x ± s, points)

组别	例数	SAS		SDS
组别	例数	干预前	干预后	干预前	干预后
对照组	85	60.22±6.47	43.24±5.10^b	57.18±5.82	40.05±4.21^b
观察组	85	59.43±6.68	35.18±4.62^b	56.64±5.37	34.29±3.82^b
统计量		0.783^a	9.633^c	0.629^a	8.795^c
P值		0.435	< 0.001	0.530	< 0.001
注：^a为t值，^c为F值; 与同组干预前比较，^bP < 0.05。

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表 3 2组消化性溃疡患者遵医行为及健康生活方式比较(x ± s，分)

Table 3. Comparison of compliance behavior and healthy lifestyle between two groups of patients with peptic ulcer (x ± s, points)

组别	例数	遵医行为		HPLP-Ⅱ
组别	例数	干预前	干预后	干预前	干预后
对照组	85	59.77±6.83	67.82±7.10^b	70.98±10.33	91.59±12.77^b
观察组	85	60.65±5.94	75.33±5.29^b	71.52±9.97	100.50±15.34^b
统计量		0.896^a	6.380^c	0.347^a	4.015^c
P值		0.371	< 0.001	0.729	< 0.001
注：^a为t值，^c为F值; 与同组干预前比较，^bP < 0.05。

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