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健康行为改变整合理论下经皮冠状动脉介入术后患者健康促进行为管理的质性研究
Health promotion behavior management of patients after percutaneous coronary intervention based on integrated theory of health behavior change: a qualitative study
【摘要】 目的 以健康行为改变整合理论为框架,探讨经皮冠状动脉介入术(percutaneous coronary intervention, PCI)后患者健康促进行为管理现状,为推动患者健康促进行为提供参考。方法 运用现象学研究方法,于2024年3-4月选取南昌大学第二附属医院心血管内科15例PCI术后患者进行半结构式访谈,采用Colaizzi 7步法对访谈资料进行分析。结果 共提炼出4个主题:疾病认知不足、自我效能引导管理信念、自我调节能力尚待提高、多元因素影响健康促进行为。结论 医护人员应实施阶段性个性化宣教,增强PCI术后患者自我效能,引导其树立积极信念,提高其自我调节能力,帮助患者形成支持网络,组建专科联盟,改善患者健康促进大环境,以提高PCI术后患者健康促进行为水平。
【Abstract】 Objective Based on the integrated theory of health behavior change, this paper explores the current status of health promotion behavior management in patients after percutaneous coronary intervention(PCI),so as to provide references for promotion. Methods Using phenomenological research methods, 15 patients who underwent PCI in department of cardiology the second affiliated hospital between March and April 2024 were selected for semi-structured interviews, and the data collected were analyzed using the Colaizzi 7-step method. Results Four main themes were extracted, including insufficient awareness of diseases, self-efficacy guiding management belief, self-regulation ability needing improvement, and multiple factors influencing health promotion behaviors. ConclusionHealthcare professionals should implement personalized education, to enhance patients′ self-efficacy, guide them to establish positive beliefs and cultivate their self-regulation skills, so as to improve their health promotion behaviors.
【Key words】 Percutaneous coronary intervention; Health promotion behavior; Integrated theory of health behavior change; Qualitative research;
- 【文献出处】 中国临床护理 ,Chinese Clinical Nursing , 编辑部邮箱 ,2025年08期
- 【分类号】R473.5
- 【下载频次】70