跨理论模型指导的健康教育对高原基层官兵防晒行为的影响研究

Impact of transtheoretical model on sun protection behaviors of soldiers in plateau area

目的探讨跨理论模型指导的健康教育对高原官兵防晒行为的影响。方法将驻地海拔为4 200 m、由我院提供卫勤保障的208例患有日光性皮炎的基层官兵,随机分为试验组和对照组各104例,试验组进行跨理论模型指导的防晒健康教育,对照组按照《军队健康教育大纲》规定的内容进行防晒健康教育。干预前后比较两组的防晒行为调查问卷得分、防晒用品使用行为改变阶段和皮肤病生活质量指标得分。结果试验组防晒行为调查问卷总分高于对照组(P<0.05),防晒用品使用行为阶段改变优于对照组(P<0.05),皮肤病生活质量指标得分低于对照组(P<0.05)。结论跨理论模型指导的健康教育可促进高原基层官兵防晒行为的改变,是一种行之有效的健康教育方法。

Objective To explore the impact of transtheoretical model on sun protection behaviors of soldiers in plateau area. Methods A total of 208 male soldiers trained in 4 200 meters altitude and medically supported by our hospital were randomly divided into the experimental group（n=104） and the control group（n=104）. The experi- mental group received health education based on the transtheoretical model,and the control group received routine health education. Score of sun protection behaviors questionnaire,sunscreen using behavior and score of the Derma- tology Life Quality Index （DLQI） before and after the intervention between two groups were compared. Results Score of sun protection behaviors questionnaire in the experimental group was higher than that in the control group （P〈0.05）,sunscreen using behavior in the experimental group was better than the control group（P〈0.05）,score of the Dermatology Life Quality Index in the experimental group was lower than the control group（P〈0.05）. Conclusion Health education guided by the transtheoretical model can improve the plateau soldiers＇ sun protection behaviors, and it is an effective method of health education.