基于助推理论的健康管理方案在慢性病患者中的应用  

Application of health management plan based on boost theory in patients with chronic diseases

作　　者：章汝 葛孟华[2] 陈烨君[1] 王爱芳[3] 阮国栋[4] ZHANG Ru;GE Menghua;CHEN Yejun;WANG Aifang;RUAN Guodong(Management Department,Shaoxing Second Hospital Health,Shaoxing,Zhejiang 312000,China;不详)

机构地区：[1]绍兴第二医院健康管理部,浙江绍兴312000 [2]绍兴第二医院普外科 [3]绍兴第二医院内分泌代谢科 [4]绍兴第二医院医共体总院肿瘤外科(甲乳外科),浙江绍兴312000

出　　处：《中华全科医学》2023年第9期1528-1531,1536,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2023KY1278)。

摘　　要：目的 探讨基于助推理论的健康管理方案在慢性病患者中的应用效果,分析其对患者健康行为、健康素养、自我监测能力及服务满意度情况的影响。方法 采用便利抽样法选取2020年7月—2023年1月绍兴第二医院收治的200例慢性病患者作为研究对象,根据随机数字表法将其分为对照组(100例)和观察组(100例)。对照组采用常规健康管理,观察组在对照组基础上采用基于助推理论的健康管理方案。比较2组患者干预前后健康行为、健康素养、自我监测能力及服务满意度。结果 干预前,2组患者健康行为、健康素养及自我监测能力评分比较差异无统计学意义(均P>0.05);干预后,观察组患者健康促进生活方式量表总分为(117.51±3.89)分,高于对照组[(101.27±3.44)分,P<0.05];干预后,观察组患者健康素养水平高于对照组(P<0.05);干预后,观察组患者疾病自我监测能力得分为(8.87±0.64)分,高于对照组[(7.33±1.26)分,P<0.05];观察组服务满意度高于对照组(P<0.05)。结论 基于助推理论的健康管理方案能明显提高慢性病患者健康行为及健康素养,有利于提高患者自我监测能力及服务满意度,值得临床应用。Objective To explore the application effect of health management plans based on boosting theory in chronic disease patients,and analyze their impact on patients'health behavior,health literacy,self-monitoring ability,and service satisfaction.Methods A total of 200 patients with chronic diseases who were admitted to Shaoxing Second Hospital from July 2020 to January 2023 were selected as the research objects using the convenient sampling method,and divided into control group and observation group according to the random number table,with 100 cases in each group.The control group adopted routine health management,while the observation group adopted a health management program based on the boost theory on the basis of the control group.The health behavior,health literacy,self-monitoring ability and service satisfaction of the two groups were compared.Results Before intervention,there was no statistically significant difference in the scores of health behavior,health literacy,and self-monitoring ability between the two groups of patients(all P>0.05).After intervention,the total score of the health promotion lifestyle scale for patients in the observation group was(117.51±3.89)points,which was higher than the score of the control group(101.27±3.44)points(P<0.05);The health literacy level of the observation group was higher than that of the control group(P<0.05);The self-monitoring ability score of the observation group patients was(8.87±0.64)points,which was higher than that of the control group[(7.33±1.26)points,P<0.05];Service satisfaction in the observation group was higher than in the control group(P<0.05).Conclusion The health management program based on the boost theory can significantly improve the health behavior and health literacy of patients with chronic diseases,and is conducive to improving patients'self-monitoring ability and service satisfaction,which is worthy of clinical application.

关 键 词：慢性病 助推理论 健康管理 健康行为 健康素养 

分 类 号：R473.5[医药卫生—护理学] R592[医药卫生—临床医学]