以家庭为中心的赋权模式结合行为习惯逆转训练对支气管哮喘患者健康信念及哮喘控制的影响  

Effects of family-centered empowerment model combined with behavioral habit reversal training on health belief and asthma control in patients with bronchial asthma

作　　者：余正慧 张学梅 YU Zhenghui;ZHANG Xuemei(Hanzhong Central Hospital,Hanzhong 723000,China)

机构地区：[1]汉中市中心医院,陕西汉中723000

出　　处：《临床医学研究与实践》2025年第6期154-157,共4页Clinical Research and Practice

摘　　要：目的 探究以家庭为中心的赋权模式结合行为习惯逆转训练对支气管哮喘(BA)患者健康信念及哮喘控制的影响。方法 选择2021年1月至2023年2月我院收治的90例BA患者为研究对象,以随机数字表法将其分为对照组和观察组,每组45例。对照组接受常规护理,观察组在对照组基础上加用以家庭为中心的赋权模式结合行为习惯逆转训练。比较两组的干预效果。结果 干预后,观察组的Champion健康信念量表(CHBMS)评分高于对照组,家庭照顾者照顾能力量表(FCTI)评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的哮喘控制测试(ACT)、哮喘生活质量问卷(AQLQ)评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的Connor-Davidson心理韧性评估量表(CD-RISC)各维度评分高于对照组,差异具有统计学意义(P<0.05)。结论 以家庭为中心的赋权模式结合行为习惯逆转训练可提高BA患者健康信念及家庭照顾者照顾能力,改善心理韧性,提升哮喘控制效果,值得推广。Objective To explore the effects of family-centered empowerment model combined with behavioral habit reversal training on health belief and asthma control in patients with bronchial asthma(BA).Methods A total of 90 patients with BA admitted in our hospital from January 2021 to February 2023 were selected as the research objects and divided into control group and observation group by random number table method,with 45 cases in each group.The control group received routine nursing,while the observation group received family-centered empowerment model combined with behavioral habit reversal training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the Champion Health Belief Model Scale(CHBMS)score of the observation group was higher than that of the control group,and the Family Caregiver Task Inventory(FCTI)score was lower than that of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of Asthma Control Test(ACT)and Asthma Quality of Life Questionnaire(AQLQ)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of Connor-Davidson Resilience Scale(CD-RISC)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The family-centered empowerment model combined with behavioral habit reversal training can improve the health belief of BA patients and the care ability of family caregivers,ameliorate psychological resilience,and promote the effect of asthma control,which is worth promoting.

关 键 词：以家庭为中心的赋权模式 行为习惯逆转训练 支气管哮喘 健康信念 哮喘控制 

分 类 号：R473.72[医药卫生—护理学]