脑卒中患者复发风险感知与行为决策情境理论模型的初步构建  

Preliminary Construction of Recurrence Risk Perception and Behavioral Decision Model in Stroke Patients

作　　者：林蓓蕾[1] 靳雨佳 梅永霞[1] 张伟宏 张振香[1] 王文娜 薛利红[3] 安保霞 LIN Beilei;JIN Yujia;MEI Yongxia;ZHANG Weihong;ZHANG Zhenxiang;WANG Wenna;XUE Lihong;ANBaoxia(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China;President’sOffice,Henan Institute of Medical and Pharmaceutical Sciences,Zhengzhou 450001,Henan Province,China;Departmentof Nursing,Hua County People’s Hospital of Henan Province,Anyang 456499,Henan Province,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001 [2]河南省医药科学研究院院长办公室,河南郑州450001 [3]滑县人民医院护理部,河南安阳456499

出　　处：《军事护理》2024年第6期1-5,共5页MILITARY NURSING

基　　金：国家自然科学基金青年基金项目(72104221);河南省重点研发与推广专项(科技攻关)项目(232102310170);河南省高校科技创新团队(22IRTSTHN027);中国博士后科学基金(2023M743197)。

摘　　要：目的构建脑卒中患者复发风险感知与行为决策情境理论模型,为脑卒中行为管理提供新的指导框架。方法遵循护理学科理论模型发展过程,综合采用文献研究、质性研究及理论分析,初步构建脑卒中复发风险感知与行为决策情境理论模型,包括概念、命题(概念间假设关系)及模型边界(适用范围)。结果脑卒中复发风险感知与行为决策模型包含复发风险感知、行为决策、自我效能、社会支持、情感反应(担忧)和健康行为等6个核心变量,一条核心路径为“复发风险感知→行为决策→健康行为”,三条桥梁路径为“复发风险感知社会支持→行为决策→健康行为”“复发风险感知→自我效能→行为决策→健康行为”和“复发风险感知复发担忧→行为决策→健康行为”。结论脑卒中复发风险感知与行为决策模型或可丰富脑卒中健康行为管理相关理论研究,进而为开展脑卒中患者健康管理及复发防控实践工作提供新的视角。Objective To develop the recurrence risk perception and behavioral decision model(RBM)in stroke patients,and to provide a new guidance framework for stroke behavior management.Methods Following the development process of nursing discipline theoretical model,literature research,qualitative research and theoretical analysis were comprehensively used to develop the RBM in stroke patients,including concepts,propositions(hypothetical relationship between concepts)and model boundary(scope of application).Results The RBM included 6 variables namely,recurrence risk perception,behavioral decision-making,self-efficacy,social support,emotional response(worry)and health behavior.The core path was“recurrence risk perception→behavioral decision→health behavior”.The three bridge pathes were respectively“recurrence risk[JP6]perception social support→behavioral decision→health behavior”“recurrence risk perception→self-efficacy→behavioral decision→health behavior”,and“recurrence risk perception recurrence worry→behavioral decision→health behavior”.Conclusion The RBM in stroke patients can enrich the theoretical research of stroke health behavior management and provide a new reference for interventions relevant with stroke patients’health promotion and recurrence prevention.

关 键 词：脑卒中 复发风险感知 行为决策 情境理论 模型 

分 类 号：R473.74[医药卫生—护理学]