健康信念模型干预的标准化认知行为干预对老年慢性病患者遵医行为的影响  

The Standardized Cognitive Behavioral Intervention of Health Belief Model Intervention and Its Impact on the Compliance Rate of Elderly Medical Examination Population

作　　者：黄燕杨 HUANG Yanyang(Department of Health Management,Community Health Service Center,Yundang Street,Siming District,Xiamen City,Xiamen,Fujian 361009,China)

机构地区：[1]厦门市思明区筼筜街道社区卫生服务中心健康管理科,福建厦门361009

出　　处：《中国医药指南》2025年第12期77-80,共4页Guide of China Medicine

摘　　要：目的分析老年慢性病患者接受健康信念模型干预的标准化认知行为干预的价值。方法选取厦门市思明区筼筜街道社区卫生服务中心体检中心接待的150例老年慢性病患者(均为糖尿病合并高血压),时段2022年10月至2023年10月。随机划分2个组别,每组75例。对照组实施常规干预模式,观察组实施健康信念模型干预的标准化认知行为干预。基于健康信念、自我管理效能感、健康行为、遵医率4个方面进行综合评估。结果两组干预后健康信念量表、中文版一般自我效能感量表(GSES)、中文版健康促进生活方式量表(HPLP-C)评分对比干预前均升高(P<0.05),且观察组上述评分与对照组相比更高(P<0.05)。观察组血糖控制、血压管理、科学饮食、合理锻炼、戒烟限酒、正确服药遵医率与对照组相比更高(P<0.05)。结论老年慢性病患者接受健康信念模型干预的标准化认知行为干预,可增强健康信念和自我管理效能感,促进健康行为养成,提高遵医率。Objective To analyze the value of standardized cognitive behavioral intervention in health belief model intervention for elderly patients with chronic diseases.Methods A total of 150 elderly patients with chronic diseases(all diabetes combined with hypertension)were selected from the physical examination center of Community Health Service Center,Yundang Street,Siming Districtfrom October 2022 to October 2023.They were randomly divided into two groups with 75 cases in each group.The control group implemented the conventional intervention mode,and the observation group implemented the standardized cognitive behavioral intervention of the health belief model intervention.Comprehensive evaluation was conducted based on four aspects:health belief,self-management efficacy,health behavior and compliance rate.Results After intervention,the scores of health belief scale,Chinese version of general self-efficacy scale(GSES)and Chinese version of health promotion lifestyle scale(HPLP-C)were increased in both groups compared with before intervention(P<0.05),and the above scores in the observation group were higher than those in the control group(P<0.05).The rates of blood glucose control,blood pressure management,scientific diet,reasonable exercise,smoking cessation and correct medication compliance in observation group were higher than those in the control group(P<0.05).Conclusions The standardized cognitive behavioral intervention of health belief model can enhance the health belief and self-management efficacy,promote the development of health behavior,and improve the compliance rate of elderly patients with chronic diseases.

关 键 词：老年体检人群 健康信念模型干预 标准化认知行为干预 

分 类 号：R5[医药卫生—内科学]