基于福格行为模型的社区主要不良心脏事件高危者的健康干预  

A study on Fogg Behavioral Model-based health intervention for people at high risk of major adverse cardiac events in the community

作　　者：李红[1] 邹继华 黎晓艳 郑晶琎 陈飞燕 刘翀[1] 高井全 陶然[3] Li Hong;Zou Jihua;Li Xiaoyan;Zheng Jingjin;Chen Feiyan;Liu Chong;Gao Jingquan;Tao Ran(Department of Geriatrics Center and Cardiovascular Medicine,Lishui Central Hospital,Lishui 323000,China;不详)

机构地区：[1]丽水市中心医院老年医学中心与心血管内科,浙江丽水323000 [2]南通理工学院健康医学院 [3]丽水学院医学院 [4]丽水市莲都区万象街道卫生服务中心

出　　处：《护理学杂志》2024年第19期6-10,共5页Journal of Nursing Science

基　　金：丽水市公益技术研究项目(2021GYX27);丽水市公益技术研究项目(2022GYX39);浙江省自然科学基金项目(LY18G030016)。

摘　　要：目的探讨基于福格行为模型的健康干预对社区主要不良心脏事件高危者生活方式、用药依从性及院前延迟行为意向的影响。方法将不良心脏事件高危者按照社区分为对照组和干预组各66人。对照组采用常规健康管理,干预组在对照组的基础上依据福格行为模型从动机、能力和提示3个关键要素进行健康干预6个月并随访3个月。在干预前、干预后和随访后对两组健康促进生活方式、院前延迟行为意向、用药依从性进行评价。结果对照组60人、干预组57人完成干预及随访。干预及随访后,干预组健康促进生活方式、用药依从性评分显著高于对照组,院前延迟行为意向评分显著低于对照组(均P<0.05)。结论基于福格行为模型的健康干预有利于提高社区不良心脏事件高危者的健康促进生活方式和用药依从性,降低院前延迟行为意向。Objective To explore the effects of a health intervention based on the Fogg Behavioral Model on lifestyle,medication adherence,and behavioral intention of prehospital delayed among people at high risk for major adverse cardiac events in the community.Methods The individuals at high risk of adverse cardiac events were divided into 2 groups with 66 cases each according to the communities locations.The control group received conventional health management,while the intervention group received health intervention for 6 months based on the control group,following the Fogg Behavioral Model with three key elements:motivation,ability,and prompt,and followed up for 3month.Health-promoting lifestyle,prehospital delayed behavioral intention,and medication adherence were evaluated in the two groups before intervention,after intervention,and after the follow-up.Results A total of 60 individuals in the control group and 57 in the intervention group completed the intervention and follow-up.After the intervention and follow-up,the scores of health-promoting lifestyle and medication adherence in the intervention group were significantly higher than those in the control group,and the scores of behavioral intention of prehospital delay were significantly lower than those in the control group(all P<0.05).Conclusion The health intervention based on Fogg Behavioral Model is conducive to improving health-promoting lifestyle and medication adherence,and reducing behavioral intention of prehospital delay among people at high risk of adverse cardiac events in the community.

关 键 词：主要不良心脏事件 高危人群 福格行为模型 健康干预 健康促进生活方式 院前延迟 就医行为意向 服药依从性 

分 类 号：R473.2[医药卫生—护理学]