临床与病理杂志2018，Vol.38Issue(2)：377-383,7.DOI:10.3978/j.issn.2095-6959.2018.02.024
基于计划行为理论的延续性护理模式对脑卒中患者健康行为的影响
Effect of transitional care based on theory of planned behavior on health behavior of stroke patients
摘要
Abstract
Objective: To explore the application of theory of planned behavior (TPB) in the transitional care of stroke patients and to establish a more effective continuum nursing model. Methods: From July 2015 to June 2016, 124 patients with stroke were randomly selected from West China Hospital of Sichuan University, and the age range of the patients was 41-79 (53.60±11.67) years old. The patients were randomly divided into an intervention group (65 cases) and a control group (59 cases). After admission, the two groups of patients were investigated for health behavior factors and nursing needs. The patients in the control group were given discharge guidance and stroke health knowledge education 1-2 d before discharge. In addition to routine care, patients in the intervention group were treated with a transitional care based on the planning theory. All patients were asked came back to hospital for a reexamination and to fill out the Health Promotion Lifestyle Scale in 3 and 6 months after discharge, and we will collect the baseline information and biochemical indicators and evaluate the effect of intervention. Results: After the first onset of stroke, the average score of need for nursing care were (94.21±0.98) points. The highest demands were home care services which scored (12.73±0.97) points and the demands for knowledge of stroke was followed by (12.42±1.02). The score of pre-intervention health behavior was (109.93±18.47) points. After 6 months of discharged, the health behavior score of control group were (118.58±16.78) points, while the intervention group scored (133.85±18.66) points which was significantly higher than that of the control group (t=21.48, P＜0.01). There is pairwise correlation between the variables of the TPB. The correlation between subjective norms and behavioral intention is the largest, and the correlation between perceptual behavior control and health behavior score is the largest. The recurrence rate and complication rate were significantly higher in the control group than in the intervention group (χ2=10.14, P＜0.01; χ2=4.54, P=0.03). Conclusion: Transitional care based on TPB can change the adverse health behaviors of stroke patients, reduce the recurrence rate and prevent the occurrence of complications.关键词
脑卒中/延续性护理/计划行为理论/行为干预Key words
stroke/transitional care/planned behavioral theory/behavioral intervention引用本文复制引用
叶丹,王凤英,刘祚燕..基于计划行为理论的延续性护理模式对脑卒中患者健康行为的影响[J].临床与病理杂志,2018,38(2):377-383,7.基金项目
四川省软科学研究计划项目(16RKX0533).This work was supported by Soft Science Research Project of Sichuan, China(16RKX0533). （16RKX0533）
