基于健康信念模型和计划行为理论的护理方案在肾精不足型多囊卵巢综合征患者中的应用效果  

Application of Nursing Based on Health Belief Model and Planned Behavior Theory in Polycystic Ovary Syndrome with Renal Insufficiency

作　　者：刘海萍 胡国秀 陈青 杨翠萍 陈丽娥 张桂荣 Liu Haiping;Hu Guoxiu;Chen Qing;Yang Cuiping;Chen Li’e;Zhang Guirong(The Third People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350108,China)

机构地区：[1]福建中医药大学附属第三人民医院,福建福州350108

出　　处：《中国初级卫生保健》2024年第12期88-92,共5页Chinese Primary Health Care

基　　金：福建省自然科学基金资助项目(2023J01883)。

摘　　要：目的:探讨基于健康信念模型(HBM)和计划行为理论(TPB)的护理方案在肾精不足型多囊卵巢综合征患者中的应用效果。方法:选取2019年3月—2024年4月福建中医药大学附属第三人民医院收治的130例多囊卵巢综合征(PCOS)患者,将其分为研究组和对照组,每组各65例。研究组患者接受基于健康信念模型与计划行为理论的干预,对照组患者接受常规护理,干预时间均为1年。对比两组患者在干预后的性激素水平、HBM和TPB评分、子宫微循环指标及促进健康生活方式患者评分。结果:干预后研究组患者性激素水平均显著优于对照组;研究组患者HBM中感知到的障碍和行动线索评分虽高于对照组,但两组比较差异无统计学意义(P>0.05),TPB各维度评分均显著高于对照组。研究组患者子宫微循环指标较对照组均有显著改善,研究组患者促进健康生活方式评分均显著高于对照组,两组比较差异均有统计学意义(P<0.05)。结论:基于HBM和TPB的干预方案能有效改善PCOS的发展,改善患者的子宫微循环和促进健康生活方式。OBJECTIVE To explore the application effect of nursing plans based on health belief patterns and planned behavior theory in polycystic ovary syndrome with renal insufficiency.METHODS 130 patients with polycystic ovary syndrome admitted to our hospital from March 2019 to April 2024 were selected and divided into a study group and a control group,with 65 patients in each group.The research group received intervention based on the Health Belief Model(HBM)and Planned Behavior Theory(TPB),while the control group received routine care.RESULTS Both groups received intervention for 1 year.Compare the sex hormone levels,HBM and TPB scores,uterine microcirculation indicators,and score for promoting a healthy lifestyle between two groups of patients after intervention.After intervention,the levels of sex hormones in the study group were significantly better than those in the control group.The perceived obstacles and action cues scores in the HBM of the research group were higher than those in the control group,but the difference was not statistically significant(P>0.05).The scores in the other three dimensions were significantly higher than those in the control group,and the scores in each dimension of TPB were significantly higher than those in the control group.The uterine microcirculation indicators in the research group were significantly improved compared to those in the control group.The scores for promoting a healthy lifestyle in the research group were significantly higher than those in the control group(P<0.05).CONCLUSION The intervention plan based on HBM and TPB can effectively improve the development of PCOS,improve the uterine microcirculation of patients,and promote a healthy lifestyle.

关 键 词：多囊卵巢综合征 妇科 肾精不足 健康信念模型 计划行为理论 

分 类 号：R195[医药卫生—卫生统计学]