健康信念模式在单纯性肥胖患者行为改变中的应用  

Application of the health belief model in the behavior intervention of patients with simple obesity

作　　者：梁巧莹[1] 黄丽霞[1] 陈玲[1] 符可文[1] 廖梅[1] 

机构地区：[1]湛江中心人民医院健康体检中心,湛江市524037

出　　处：《中华护理教育》2012年第5期225-227,共3页Chinese Journal of Nursing Education

摘　　要：目的探讨健康信念模式对单纯性肥胖患者行为改变的作用。方法选择221例单纯性肥胖患者为对象,按区组随机法分为干预组111例和对照组110例。干预组实施以健康信念模式为理论基础的护理干预,对照组实施常规健康教育。1年后,比较两组患者的健康行为、体质指数和腰围。结果两组患者健康行为评分、体质指数和腰围比较,干预前差异无统计学意义(P>0.05),而干预后差异有统计学意义(P<0.01),且干预组患者的危害健康行为逐渐改变为健康行为。结论健康信念模式是适合单纯性肥胖患者的健康教育模式,可以帮助单纯性肥胖患者建立健康行为,控制肥胖。Objective To evaluate the effectiveness of nursing intervention based on health belief model on the behavior change of patients with simple obesity. Methods A total of 221 hospitalized patients with simple obesity were divided into two groups in a randomized block design. The patients in the control group received routine health education,while patients in the experimental group received nursing intervention based on health belief model. The differential responses of patients＇ health behaviors,weight and waistline between the two groups were evaluated before and one year after the intervention. Results Before the intervention,there were no significant differences on patients＇ health behaviors,weight and waistline between the two groups（P〉0.05）. After nursing intervention,there were significant differences on patients＇ health behaviors,weight and waistline between the two groups（P〈0.01）. Conclusion Health belief model is an effective health education model to the patients with simple obesity. The application of heahh belief model can promote health behavior and control the weight of patients with simple obesity.

关 键 词：肥胖 单纯性 健康教育 健康信念模式 

分 类 号：R473.5[医药卫生—护理学]