基于健康行为改变整合理论的健康教育结合积极心理干预对结直肠癌根治术后患者希望水平及健康素养的影响  

Effects of health education based on the integrated theory of health behavior change combined with positive psychological intervention on the hope level and health literacy of patients after radical resection of colorectal cancer

作　　者：张亚妮 王芳 ZHANG Yani;WANG Fang(Xi'an People's Hospital/Xi'an Fourth Hospital,Xi'an 710004,China)

机构地区：[1]西安市人民医院/西安市第四医院,陕西西安710004

出　　处：《临床医学研究与实践》2024年第30期130-133,共4页Clinical Research and Practice

摘　　要：目的探讨基于健康行为改变整合理论的健康教育结合积极心理干预对结直肠癌根治术后患者希望水平及健康素养的影响。方法选取2021年1月至2022年12月收治的100例结直肠癌根治术后患者为研究对象,随机将其分为对照组和观察组,各50例。对照组采用常规护理干预,观察组在对照组基础上加基于健康行为改变整合理论的健康教育结合积极心理干预。比较两组的干预效果。结果干预后,观察组的积极行为、目前与未来态度及保持与他人密切关系评分均高于对照组(P<0.05)。干预后,观察组的健康生活方式与行为、健康素养知识理念及健康技能评分高于对照组(P<0.05)。干预后,观察组的生理、心理、社会关系及环境评分均高于对照组(P<0.05)。结论基于健康行为改变整合理论的健康教育结合积极心理干预不仅能够增强结直肠癌根治术后患者希望水平,还能提升健康素养,改善生活质量。Objective To explore the effects of health education based on the integrated theory of health behavior change combined with positive psychological intervention on the hope level and health literacy of patients after radical resection of colorectal cancer.Methods A total of 100 patients after radical resection of colorectal cancer admitted from January 2021 to December 2022 were selected as the study objects and randomly divided into control group and observation group,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given health education based on the integration theory of health behavior change combined with positive psychological intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of positive behavior,current and future attitude and maintaining close relationship with others in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of healthy lifestyle and behavior,health literacy knowledge and health skills in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of physiology,psychology,social relations and environment in the observation group were higher than those in the control group(P<0.05).Conclusion Health education based on the integrated theory of health behavior change combined with positive psychological intervention can not only enhance the hope level of patients after radical resection of colorectal cancer,but also improve health literacy and quality of life.

关 键 词：健康行为改变整合理论 健康教育 积极心理干预 结直肠癌根治术 希望水平 健康素养 

分 类 号：R473.73[医药卫生—护理学]