摘要
目的探讨基于行为转变理论的健康指导对颈动脉斑块粥样硬化患者的价值。方法选取我院收治的颈动脉斑块粥样硬化患者84例,以随机数字表法分为观察组(n=42)及对照组(n=42),对照组行常规护理,观察组行基于行为转变理论的健康指导,对两组干预效果进行评价。结果干预后,两组颈动脉内-中膜厚度(IMT)、斑块Crouse积分均优于干预前,观察组IMT、斑块Crouse积分均优于对照组(P<0.05)。干预后,两组遵医嘱用药、情绪控制、饮食管理、运动锻炼各项健康行为评分均高于干预前,观察组均高于对照组(P<0.05)。结论基于行为转变理论的健康指导在颈动脉斑块粥样硬化患者中应用价值较高,可改善IMT及斑块积分,还可提高患者健康行为,值得应用。
Objective To get an insight into the value of health guidance based on behavioral change theory for patients with carotid plaque atherosclerosis.Methods A total of 84 patients with carotid plaque atherosclerosis admitted to our hospital were selected as research objects and divided into observation group(n=42)and control group(n=42)by random number table method.The control group received routine nursing,while the observation group was given health guidance based on behavioral change theory.The intervention effects of the two groups were evaluated.Results After the intervention,the carotid intima-media thickness(IMT)and plaque Crouse scores of both groups were better than those before the intervention,and the IMT and Crouse scores in observation group were better than those in control group(P<0.05).After the intervention,the scores of health behaviors in both groups including medication according to doctor’s prescription,mood control,diet management and exercise were all higher than those before the intervention,and those in observation group were higher than those in control group(P<0.05).Conclusion Health guidance based on behavioral change theory has a high application value in patients with carotid plaque atherosclerosis,which can improve IMT and plaque scores,as well as patients’health behavior,which is worthy of application.
作者
高雪英
GAO Xue-ying(Physical Examination Center,Third Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)
出处
《中国误诊学杂志》
CAS
2020年第8期367-369,共3页
Chinese Journal of Misdiagnostics
关键词
颈动脉疾病
基于行为转变理论
健康指导
健康行为
carotid artery diseases
based on behavioral change theory
health guidance
health behavior
