实用临床医药杂志2025，Vol.29Issue(16)：46-50,5.DOI:10.7619/jcmp.20251513
多理论模型的行为改变干预对血脂异常缺血性脑卒中患者的影响
Effects of behavior change intervention based on multiple-theory model in patients with dyslipidemic ischemic stroke
摘要
Abstract
Objective To explore the effects of behavior change intervention based on the multi-ple-theory model on patients with dyslipidemic ischemic stroke.Methods A total of 93 patients with dyslipidemic ischemic stroke who were hospitalized in the vascular neurology ward of Beijing Tiantan Hospital,Capital Medical University from January to August 2024 were selected as the study subjects using the convenience sampling method.They were randomly divided into control group(n=49)and intervention group(n=44)using the envelope-drawing method.Patients in the control group re-ceived routine stroke health education,while those in the intervention group underwent a 3-month be-havior change program guided by the multiple-theory model.The levels of healthy behaviors,body mass index(BMI),total cholesterol(TC),triglycerides(TG),high-density lipoprotein(HDL-C),and low-density lipoprotein(LDL-C)were compared between the two groups.Results There were no statistically significant differences in general information and disease-related data between the two groups(P＞0.05).At 1-,3-,and 6-month after the intervention,the level of healthy behaviors in the intervention group was higher than that in the control group,with statistically significant differ-ences(P＜0.05).There was a statistically significant difference in BMI between the two groups at 6 months after the intervention(P＜0.05).The TC levels in the intervention group at 3 and 6 months after the intervention were lower than those in the control group,with statistically significant differences(P＜0.05).The HDL-C level in the intervention group at 6 months after the intervention was high-er than that in the control group,with a statistically significant difference(P＜0.05).The LDL-C levels in the intervention group at 1-,3-,and 6-month after the intervention were lower than those in the control group,with statistically significant differences(P＜0.05).There were no statistically significant differences in TG levels between the intervention group and the control group at different time points after the intervention(P＞0.05).Conclusion The behavior change intervention pro-gram based on the multiple-theory model can effectively improve and maintain healthy behaviors and improve blood lipid levels in patients with dyslipidemic ischemic stroke.关键词
多理论模型/行为改变干预/缺血性脑卒中/血脂异常/健康行为/体质量指数/血脂水平/随机对照试验Key words
multi-theory model/behavior change intervention/ischemic stroke/dyslipi-demia/health behavior/body mass index/blood lipid levels/randomized controlled trial分类
医药卫生引用本文复制引用
王静,陈义彤,武美茹,杨美霞,裴珊珊,邓永梅..多理论模型的行为改变干预对血脂异常缺血性脑卒中患者的影响[J].实用临床医药杂志,2025,29(16):46-50,5.基金项目
北京天坛医院院青年基金项目(2023-YQN-04) （2023-YQN-04）
