健康信念模式对成人OSAHS合并代谢综合征患者生理指标的影响

The effect of health belief model of adult OSAHS with metabolic syndrome patients on physiology index

目的探讨并确立健康信念模式指导下的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并代谢综合征(MS)患者护理干预模式,评价护理干预对OSAHS合并MS患者各生理指标的影响。方法将54例轻、中度OSAHS合并MS患者按入院时间分为对照组28例,实验组26例。对照组接受常规治疗和护理,实验组进行为期24周的护理干预,内容包括讲授行为改变对治疗疾病的意义,分发护理干预指导手册及睡眠背心,制定饮食、运动干预计划并定期电话随访。结果干预后实验组体重、体质量指数(BMI)、腹围较对照组降低,差异有统计学意义(P<0.05);血压及颈围变化不明显,差异无统计学意义(P>0.05)。结论健康信念模式指导下的护理干预能显著降低患者的体重、BMI、腹围。

Objective To establish nursing intervention for patients with OSAHS and MS under the guidance of the model of health believes. To evaluate the influence of the physiology index of the nursing intervention for patients with OSAHS and MS. Methods There were fifty - four patients with mild, moderate OSAHS and MS assigned into control group （ n = 28 ） or intervention group （ n = 26） according to admission time. The control group was given routine treatment and nursing care and the intervention group was given 24 - week nursing intervention. The nursing intervention concluded interpretation of the importance of behavioral changes, dis- tribution of instruction manual of nursing intervention and sleep vest, making dietary and exercise plan and regular telephone follow - up. Results Comparing with the control group,there were significant decreases in body weight, BMI and waist circumference after interven- tion in the intervention group, but there was no significant effect on blood pressure and neck circumference. Conclusion Nursing inter- vention under the health belief model can reduce body weight, BMI and waist circumference of patients.