[关键词]
[摘要]
目的 构建基于行为改变轮理论和行为改变技术的脑卒中患者主动健康行为干预方案，探讨其应用效果，以提升患者执行健康行为的主动性。方法 根据理论框架、文献检索和前期调查结果构建方案初稿，采用德尔菲法进行2轮专家函询并形成干预方案施测稿。便利抽样法选取郑州市某三级甲等医院神经内科住院的85例首发脑卒中患者为研究对象。对照组接受常规护理与随访，干预组采用本研究所构建的干预方案，使用脑卒中健康知识问卷、慢性病主动健康行为量表进行调查。结果 干预后即刻、1个月、3个月，两组患者健康知识、主动健康行为得分比较差异有统计学意义（P＜0.05）。结论 本研究所构建的干预方案具有科学性和有效性，可有效提升脑卒中患者的主动健康行为能力。
[Key word]
[Abstract]
Objective To develop a proactive health behavior intervention program for stroke patients based on the Behavior Change Wheel(BCW) and Behavior Change Techniques(BCTs),and to explore its application effects, in order to enhance patients’ initiative in performing health behaviors. Methods A preliminary program draft was constructed based on theoretical frameworks, literature review, and preliminary investigation results. 2 rounds of Delphi expert consultations were conducted to form the final intervention program. 85 first-episode stroke patients hospitalized in the neurology department of a tertiary A hospital in Zhengzhou were selected by convenience sampling. The control group received routine care and follow-up, while the intervention group received the intervention program developed in this study. Data were collected using the Stroke Health Knowledge Questionnaire and the Chronic Disease Proactive Health Behavior Scale. Results Immediately after the intervention, and at 1 and 3 months post-intervention, there were statistically significant differences in health knowledge and proactive health behavior scores between the groups (P＜0.05). Conclusions The intervention program developed in this study is scientific and effective, and can effectively enhance the proactive health behavior capabilities of stroke patients.
[中图分类号]
R473.54
[基金项目]
国家自然科学基金（72204225；72274179）；中国博士后科学基金（2023M733234）
